Wagner, Dina
Wagner, Dina is an individual health care provider with primary practice located at N27W5707 Lincoln Blvd , Cedarburg WI 53012-2852. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wagner, Dina can be contacted via phone (262) 376-7676.Contact Information
Primary practice address
N27W5707 Lincoln Blvd
Cedarburg WI 53012-2852
Phone: (262) 376-7676
Fax: (262) 376-5208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3178-154 | Wisconsin |
Profile Details
| NPI number | 1588800015 |
|---|---|
| LBN Legal business name | Wagner, Dina |
| Credentials | MS-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2009 |
| Last updated | Jan 6th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588800015 | NPPES |
| Wisconsin | MEDICAID | PENDING APPLICATION |
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