SHAWN CARL WAGNER NPI 1235496639

NPI Information

NPI: 1235496639
Provider Name: SHAWN CARL WAGNER
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
2545 COUNTY ROAD 218
CLYDE, OH
ZIP 43410
Phone: (419) 307-0529
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Shawn Carl Wagner is a home modifications contractor in Clyde, OH. Shawn Carl Wagner NPI is 1235496639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2545 COUNTY ROAD 218
CLYDE, OH
ZIP 43410-521
Phone: (419) 307-0529

The enumeration date for this NPI number is 4/23/2012 and was last updated on 4/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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