Wagner, Daryl Eugene
Wagner, Daryl Eugene is an sole proprietor health care provider with primary practice located at 7425 Aspen Ct # 102 , Takoma Park MD 20912-5450. 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, Daryl Eugene can be contacted via phone (301) 807-0867.Contact Information
Primary practice address
7425 Aspen Ct # 102
Takoma Park MD 20912-5450
Phone: (301) 807-0867
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 15488 | Maryland |
Profile Details
| NPI number | 1023676517 |
|---|---|
| LBN Legal business name | Wagner, Daryl Eugene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2019 |
| Last updated | May 30th, 2019 - about 7 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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