Wagner, Irven Robert
Wagner, Irven Robert is an sole proprietor health care provider with primary practice located at 800 Coddingtown Ctr , Santa Rosa CA 95401-3511. He recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as his primary health care specialty. Wagner, Irven Robert can be contacted via phone (707) 526-1881.Contact Information
Primary practice address
800 Coddingtown Ctr
Santa Rosa CA 95401-3511
Phone: (707) 526-1881
Fax: (707) 542-2014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 8372TPA | California |
Profile Details
| NPI number | 1376687814 |
|---|---|
| LBN Legal business name | Wagner, Irven Robert |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2007 |
| Last updated | Apr 22nd, 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.
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