Wagoner, Blair

Wagoner, Blair is an individual health care provider with primary practice located at 501 1/2 S 7Th St., Rm 1 , Richmond IN 47374. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wagoner, Blair can be contacted via phone (765) 935-5390.

Contact Information

Primary practice address
501 1/2 S 7Th St., Rm 1 Richmond IN 47374
Phone: (765) 935-5390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71014313A Indiana

Profile Details

NPI number 1366220907
LBN Legal business name Wagoner, Blair
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2023
Last updated Sep 15th, 2023 - about 3 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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