Wagner, Jessica

Wagner, Jessica is an individual health care provider with primary practice located at 4164 E Bluegrass Rd , Mt Pleasant MI 48858. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wagner, Jessica can be contacted via phone (989) 772-9481.

Contact Information

Primary practice address
4164 E Bluegrass Rd Mt Pleasant MI 48858
Phone: (989) 772-9481
Fax: (989) 772-5431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X JW004356 Michigan

Profile Details

NPI number 1063466431
LBN Legal business name Wagner, Jessica
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Aug 26th, 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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