Wagner, Christopher Charles

Wagner, Christopher Charles is an individual health care provider with primary practice located at 71 Bevier St , Shelby MI 49455-1209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wagner, Christopher Charles can be contacted via phone (231) 861-2187.

Contact Information

Primary practice address
71 Bevier St Shelby MI 49455-1209
Phone: (231) 861-2187
Fax: (231) 861-5100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101025520 Michigan

Profile Details

NPI number 1982134482
LBN Legal business name Wagner, Christopher Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2017
Last updated Dec 10th, 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 1982134482 NPPES
Michigan MEDICAID 1982134482

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