Wagner, Jacob Norman

Wagner, Jacob Norman is an individual health care provider with primary practice located at 17293 Delaware Ave , Redford MI 48240-2302. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Wagner, Jacob Norman can be contacted via phone (313) 948-7199.

Contact Information

Primary practice address
17293 Delaware Ave Redford MI 48240-2302
Phone: (313) 948-7199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1194176784
LBN Legal business name Wagner, Jacob Norman
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2016
Last updated Jun 25th, 2016 - about 10 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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