Wagner, Dennis L
Wagner, Dennis L is an individual health care provider with primary practice located at 1120 South Dr # Fh204 , Indianapolis IN 46202-5135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Wagner, Dennis L can be contacted via phone (317) 944-2891.Contact Information
Primary practice address
1120 South Dr # Fh204
Indianapolis IN 46202-5135
Phone: (317) 944-2891
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01027891 | Indiana |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01027891A | Indiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 01027891 | Indiana |
Profile Details
| NPI number | 1891750501 |
|---|---|
| LBN Legal business name | Wagner, Dennis L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Nov 23rd, 2020 - about 6 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 | 1891750501 | NPPES |
| Indiana | MEDICAID | 100324970 |
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