Wagner, Brian

Wagner, Brian is an individual health care provider with primary practice located at 250 Dewey Ave , Spartanburg SC 29303-3009. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wagner, Brian can be contacted via phone (864) 585-0366.

Contact Information

Primary practice address
250 Dewey Ave Spartanburg SC 29303-3009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1114333549
LBN Legal business name Wagner, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated Jul 7th, 2014 - about 12 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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