Wagner, Alexander Morse
Wagner, Alexander Morse is an individual health care provider with primary practice located at 2 Medical Park Rd Ste 104 , Columbia SC 29203-6839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wagner, Alexander Morse can be contacted via phone (803) 434-7832.Contact Information
Primary practice address
2 Medical Park Rd Ste 104
Columbia SC 29203-6839
Phone: (803) 434-7832
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 39761 | South Carolina |
Profile Details
| NPI number | 1972955623 |
|---|---|
| LBN Legal business name | Wagner, Alexander Morse |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2016 |
| Last updated | Sep 22nd, 2023 - about 3 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 | 1972955623 | NPPES |
| South Carolina | MEDICAID | 397617 |
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