Wagner, Matthew

Wagner, Matthew is an individual health care provider with primary practice located at 190 Match Factory Pl , Bellefonte PA 16823-1367. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Wagner, Matthew can be contacted via phone (814) 353-3151.

Contact Information

Primary practice address
190 Match Factory Pl Bellefonte PA 16823-1367
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Pennsylvania

Profile Details

NPI number 1174973432
LBN Legal business name Wagner, Matthew
Credentials MA,CPS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2016
Last updated Jun 17th, 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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