- Enrollment id
- O20080924000381
- Associate id
- 8527135151
- Organization name
- MIDWEST HEALTHCARE PROVIDERS INC.
- Associate id - owner
- 9931334265
- Type - owner
- I
- Role code - owner
- 34
- Role text - owner
- 5% OR GREATER DIRECT OWNERSHIP INTEREST
- Association date - owner
- 2014-01-01
- First name - owner
- DAWN
- Middle name - owner
- M
- Last name - owner
- WAGNER
- Percentage ownership
- 100
- Enrollment id
- O20080924000381
- Associate id
- 8527135151
- Organization name
- MIDWEST HEALTHCARE PROVIDERS INC.
- Associate id - owner
- 9931334265
- Type - owner
- I
- Role code - owner
- 40
- Role text - owner
- CORPORATE OFFICER
- Association date - owner
- 2013-06-26
- First name - owner
- DAWN
- Middle name - owner
- M
- Last name - owner
- WAGNER
- Percentage ownership
- 100
- Enrollment id
- O20080924000381
- Associate id
- 8527135151
- Organization name
- MIDWEST HEALTHCARE PROVIDERS INC.
- Associate id - owner
- 9931334265
- Type - owner
- I
- Role code - owner
- 41
- Role text - owner
- CORPORATE DIRECTOR
- Association date - owner
- 2013-06-26
- First name - owner
- DAWN
- Middle name - owner
- M
- Last name - owner
- WAGNER
- Percentage ownership
- 100
- Enrollment id
- O20080924000381
- Associate id
- 8527135151
- Organization name
- MIDWEST HEALTHCARE PROVIDERS INC.
- Associate id - owner
- 9931334265
- Type - owner
- I
- Role code - owner
- 42
- Role text - owner
- W-2 MANAGING EMPLOYEE
- Association date - owner
- 2013-06-26
- First name - owner
- DAWN
- Middle name - owner
- M
- Last name - owner
- WAGNER
- Percentage ownership
- 100
- Enrollment id
- O20080924000381
- Associate id
- 8527135151
- Organization name
- MIDWEST HEALTHCARE PROVIDERS INC.
- Associate id - owner
- 9931334265
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2013-06-26
- First name - owner
- DAWN
- Middle name - owner
- M
- Last name - owner
- WAGNER
- Title - owner
- DIRECTOR OF NURSING
- Percentage ownership
- 100