Wagner, Anna

Wagner, Anna is an individual health care provider with primary practice located at 3900 S Lee Maur St , West Valley City UT 84119-4506. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Wagner, Anna can be contacted via phone (440) 258-1580.

Contact Information

Primary practice address
3900 S Lee Maur St West Valley City UT 84119-4506
Phone: (440) 258-1580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1689283269
LBN Legal business name Wagner, Anna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2020
Last updated Jul 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689283269 NPPES
Utah Other 10756382-3102 UTAH DOPL

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