Wagner, Edward Steven
Wagner, Edward Steven is an sole proprietor health care provider with primary practice located at 4330 Sheridan St Ste 101, Hollywood FL 33021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wagner, Edward Steven can be contacted via phone (954) 962-9802.Contact Information
Primary practice address
4330 Sheridan St Ste 101
Hollywood FL 33021
Phone: (954) 962-9802
Fax: (954) 962-2233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME68203 | Florida |
Profile Details
| NPI number | 1568435741 |
|---|---|
| LBN Legal business name | Wagner, Edward Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Apr 19th, 2011 - about 14 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 | 1568435741 | NPPES |
| Florida | MEDICAID | 379684100 |
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