Wagner, Roger

Wagner, Roger is an individual health care provider with primary practice located at 639 W Chestnut Expy , Springfield MO 65802-3935. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Wagner, Roger can be contacted via phone (417) 523-1320.

Contact Information

Primary practice address
639 W Chestnut Expy Springfield MO 65802-3935
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2007025212 Missouri

Profile Details

NPI number 1396874335
LBN Legal business name Wagner, Roger
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Dec 6th, 2007 - 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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