Wagoner, Madison

Wagoner, Madison is an individual health care provider with primary practice located at 16356 N Thompson Peak Pkwy Apt 1077 , Scottsdale AZ 85260-2103. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Wagoner, Madison can be contacted via phone (760) 683-4878.

Contact Information

Primary practice address
16356 N Thompson Peak Pkwy Apt 1077 Scottsdale AZ 85260-2103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA14239 Arizona

Profile Details

NPI number 1184336349
LBN Legal business name Wagoner, Madison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2022
Last updated Dec 20th, 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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