Wagner, Jacquelyn

Wagner, Jacquelyn is an individual health care provider with primary practice located at 833 N 26Th St , Milwaukee WI 53233-1507. 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, Jacquelyn can be contacted via phone (414) 344-7676.

Contact Information

Primary practice address
833 N 26Th St Milwaukee WI 53233-1507
Phone: (414) 344-7676
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 242.000217 Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2978154 Wisconsin

Profile Details

NPI number 1134290935
LBN Legal business name Wagner, Jacquelyn
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Sep 18th, 2008 - about 18 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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