Wagemann, Douglas

Wagemann, Douglas is an sole proprietor health care provider with primary practice located at 32392 Coast Hwy Ste 250 , Laguna Beach CA 92651-6776. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Wagemann, Douglas can be contacted via phone (949) 499-2265.

Contact Information

Primary practice address
32392 Coast Hwy Ste 250 Laguna Beach CA 92651-6776
Phone: (949) 499-2265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95055166 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95011040 California

Profile Details

NPI number 1891188983
LBN Legal business name Wagemann, Douglas
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2015
Last updated Mar 1st, 2020 - about 6 years ago

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.

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