Wagner, Henry W

Wagner, Henry W is an individual health care provider with primary practice located at 1 Parkland Dr , Derry NH 03038-2746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wagner, Henry W can be contacted via phone (603) 421-2220.

Contact Information

Primary practice address
1 Parkland Dr Derry NH 03038-2746
Phone: (603) 421-2220
Fax: (603) 421-2223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11547 New Hampshire

Profile Details

NPI number 1184643587
LBN Legal business name Wagner, Henry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated May 3rd, 2008 - about 17 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 1184643587 NPPES
New Hampshire Other 01Y003778NH02 ANTHEM
New Hampshire Other 7770294 ANTHEM
New Hampshire Other 436810 ANTHEM
New Hampshire MEDICAID 2093171 ANTHEM
New Hampshire Other 37305 ANTHEM
New Hampshire MEDICAID 30201995 ANTHEM
New Hampshire Other P00209518 ANTHEM

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