Santiago, Wagner Gilbert
Santiago, Wagner Gilbert is an individual health care provider with primary practice located at 251 Wilmot Dr , Gastonia NC 28054-4048. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Santiago, Wagner Gilbert can be contacted via phone (704) 861-0425.Contact Information
Primary practice address
251 Wilmot Dr
Gastonia NC 28054-4048
Phone: (704) 861-0425
Fax: (704) 861-0274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 429 | North Carolina |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 429 | North Carolina |
Profile Details
| NPI number | 1306831854 |
|---|---|
| LBN Legal business name | Santiago, Wagner Gilbert |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Sep 8th, 2026 - about last month |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306831854 | NPPES |
| North Carolina | Other | 0802C | BCBS |
| North Carolina | MEDICAID | PDN999 | BCBS |
| North Carolina | Other | 9673684 | BCBS |
| North Carolina | Other | 9673684002 | BCBS |
| North Carolina | Other | 23301 | BCBS |
| North Carolina | Other | 2211451 | BCBS |
| North Carolina | Other | 27715 | BCBS |
| North Carolina | Other | 108614 | BCBS |
| North Carolina | Other | 561552247004 | BCBS |
| North Carolina | Other | 7094015 | BCBS |
| North Carolina | Other | 32654 | BCBS |
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