Wagner, Darin John
Wagner, Darin John is an sole proprietor health care provider with primary practice located at 2700 Annapolis Cir N Ste D , Plymouth MN 55441-2504. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wagner, Darin John can be contacted via phone (612) 208-2032.Contact Information
Primary practice address
2700 Annapolis Cir N Ste D
Plymouth MN 55441-2504
Phone: (612) 208-2032
Fax: (612) 567-4382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 6180 | Minnesota |
Profile Details
| NPI number | 1134585482 |
|---|---|
| LBN Legal business name | Wagner, Darin John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2015 |
| Last updated | Mar 14th, 2025 - about last year |
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 | 1134585482 | NPPES |
| Minnesota | Other | 6180 | MN STATE LICENSE |
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