Wagoner, Andrew Jacob

Wagoner, Andrew Jacob is an individual health care provider with primary practice located at 500 E Veterans St , Tomah WI 54660-3105. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neonatal/Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered is his primary health care specialty. Wagoner, Andrew Jacob can be contacted via phone (608) 372-3971.

Contact Information

Primary practice address
500 E Veterans St Tomah WI 54660-3105
Phone: (608) 372-3971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neonatal/Pediatrics 2279P3900X 122206 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X 122206 Wisconsin

Profile Details

NPI number 1336727163
LBN Legal business name Wagoner, Andrew Jacob
Credentials RRT-NPS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2021
Last updated Sep 28th, 2022 - about 4 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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