Individual provider · Type 1 NPI
Shawn Carl Wagner
Home Modifications Contractor · Clyde, OH
NPI number
1235496639
Active
Practice location
2545 County Road 218
Clyde, OH 43410-9521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | None listed |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1235496639
Shawn Carl Wagner's National Provider Identifier is 1235496639, issued on Apr 23, 2012. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Clyde, OH. The record was last updated on Apr 23, 2012.