Wagner, David V

Wagner, David V is an individual health care provider with primary practice located at 2730 Pierce St Suite 204, Sioux City IA 51104-3796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wagner, David V can be contacted via phone (712) 234-8787.

Contact Information

Primary practice address
2730 Pierce St Suite 204 Sioux City IA 51104-3796
Phone: (712) 234-8787
Fax: (712) 234-8777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 29266 Iowa

Profile Details

NPI number 1508836123
LBN Legal business name Wagner, David V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 28th, 2008 - about 18 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 1508836123 NPPES
Nebraska MEDICAID 10025458200
Nebraska MEDICAID 3111864
Nebraska Other P00365203
Nebraska Other 1799
Nebraska Other 28672
Nebraska MEDICAID 7771514

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