Wagner, Clifford Gerard
Wagner, Clifford Gerard is an individual health care provider with primary practice located at 53 Woodruff Street , Saranac Lake NY 12983. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wagner, Clifford Gerard can be contacted via phone (518) 891-1326.Contact Information
Primary practice address
53 Woodruff Street
Saranac Lake NY 12983
Phone: (518) 891-1326
Fax: (518) 891-1326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X0069381 | New York |
Profile Details
| NPI number | 1467536797 |
|---|---|
| LBN Legal business name | Wagner, Clifford Gerard |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1467536797 | NPPES |
| New York | Other | CO69387 | WORKERS COMPENSATION |
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