Wageneck, Robert Allan

Wageneck, Robert Allan is an individual health care provider with primary practice located at 521 E Mountain View Ave , Ellensburg WA 98926-3865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wageneck, Robert Allan can be contacted via phone (509) 962-1414.

Contact Information

Primary practice address
521 E Mountain View Ave Ellensburg WA 98926-3865
Phone: (509) 962-1414
Fax: (509) 962-1408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N2875 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP60971885 Washington

Profile Details

NPI number 1861450314
LBN Legal business name Wageneck, Robert Allan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jan 19th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861450314 NPPES
Washington MEDICAID 2142124
Washington Other 414072

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