Shannon Wagner in Concord - Community/behavioral Health

Shannon Wagner - NPI 1467590737

Shannon Wagner is a Community/behavioral Health in Concord, California. Shannon Wagner practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Shannon Wagner is 1467590737. The last update date is 2007-07-08.

Shannon Wagner's current location address is 2086 Commerce Ave, Concord, California. You can contact this provider via phone number 9258270212. The mailing address for Shannon Wagner is 2086 Commerce Ave, Concord, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Wagner
Address 2086 Commerce Ave, Concord, California
Phone Number 9258270212
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1467590737
Provider Enumeration Date 2007-02-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2086 Commerce Ave
City Concord
State California (CA)
Post Code 9452049020
Phone Number 9258270212
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

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FAQs about Shannon Wagner

What is the unique provider identifier assigned to Shannon Wagner?

The Shannon Wagner has been issued the NPI (National Provider Identifier) 1467590737 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Shannon Wagner's physical address?

The Shannon Wagner is physically located at 2086 Commerce Ave, in the city of Concord, CA, with the postal code 9452049020.

What is Shannon Wagner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shannon Wagner is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.

When did Shannon Wagner receive its 1467590737 assignment?

The Shannon Wagner was assigned its 1467590737 on 2007-02-01, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Shannon Wagner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shannon Wagner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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