Wagman, Armin Jared
Wagman, Armin Jared is an individual health care provider with primary practice located at 4350 S National Ave # C-100, Springfield MO 65810-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Wagman, Armin Jared can be contacted via phone (417) 447-4700.Contact Information
Primary practice address
4350 S National Ave # C-100
Springfield MO 65810-2607
Phone: (417) 447-4700
Fax: (417) 447-4701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | R3P31 | Missouri |
Profile Details
| NPI number | 1710983291 |
|---|---|
| LBN Legal business name | Wagman, Armin Jared |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Feb 3rd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710983291 | NPPES |
| Missouri | MEDICAID | 203144100 | |
| Missouri | MEDICAID | 150780001 | |
| Missouri | MEDICAID | 20000020 A | |
| Missouri | MEDICAID | 100006210A |
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