Wagner, Bridget

Wagner, Bridget is an individual health care provider with primary practice located at 635 59Th St , Downers Grove IL 60516-1436. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wagner, Bridget can be contacted via phone (630) 719-5815.

Contact Information

Primary practice address
635 59Th St Downers Grove IL 60516-1436
Phone: (630) 719-5815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1629584974
LBN Legal business name Wagner, Bridget
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2017
Last updated Dec 22nd, 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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