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Blair Wagner
Non-emergency Medical Transport (VAN) in Slidell, Louisiana
NPI 1053088005

Blair Wagner is a Non-emergency Medical Transport (VAN) based in Slidell, LA. Blair Wagner practices in Slidell, LA. The NPI Number for Blair Wagner is 1053088005 and holds a License No. 009605995 (Louisiana).

The current practice location address for Blair Wagner is 1501 Magnolia St # B, Slidell, LA and can be reached out via phone at 504-400-3896.

Location: 1501 Magnolia St # B, Slidell, LA, 70460-8821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053088005
Provider Name
Blair Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
1501 Magnolia St # B, Slidell, LA, 70460-8821
Phone Number
504-400-3896
Fax Number
Provider Enumeration Date
08/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501 Magnolia St # B
City
Slidell
State
Louisiana
Zip
70460-8821
Phone Number
504-400-3896
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Magnolia St # B
City
Slidell
State
Louisiana
Zip
70460-8821
Phone Number
504-400-3896
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
009605995 (Louisiana)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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