Wagner, William Douglas

Wagner, William Douglas is an sole proprietor health care provider with primary practice located at 2139 Palm Ct , North Port FL 34287-5724. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wagner, William Douglas can be contacted via phone (859) 979-0160.

Contact Information

Primary practice address
2139 Palm Ct North Port FL 34287-5724
Phone: (859) 979-0160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW9961 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 356 Kentucky

Profile Details

NPI number 1043594963
LBN Legal business name Wagner, William Douglas
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2011
Last updated Oct 11th, 2011 - about 15 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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