Wagner, David J

Wagner, David J is an sole proprietor health care provider with primary practice located at 2019 Rambling Rd , Kalamazoo MI 49008-1630. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Wagner, David J can be contacted via phone (269) 345-0909.

Contact Information

Primary practice address
2019 Rambling Rd Kalamazoo MI 49008-1630
Phone: (269) 345-0909
Fax: (269) 345-4985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301007764 Michigan

Profile Details

NPI number 1669522710
LBN Legal business name Wagner, David J
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Sep 3rd, 2008 - about 17 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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