Wagner, Breanna
Wagner, Breanna is an individual health care provider with primary practice located at 11010 Prairie Lakes Dr Ste 350 , Eden Prairie MN 55344-3801. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wagner, Breanna can be contacted via phone (952) 746-2522.Contact Information
Primary practice address
11010 Prairie Lakes Dr Ste 350
Eden Prairie MN 55344-3801
Phone: (952) 746-2522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1083120984 |
|---|---|
| LBN Legal business name | Wagner, Breanna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2017 |
| Last updated | Dec 14th, 2017 - about 9 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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