Wagner, James P

Wagner, James P is an individual health care provider with primary practice located at 708 Viand Street , Point Pleasant WV 25550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wagner, James P can be contacted via phone (304) 675-3610.

Contact Information

Primary practice address
708 Viand Street Point Pleasant WV 25550
Phone: (304) 675-3610
Fax: (304) 675-1713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 565 West Virginia

Profile Details

NPI number 1851469480
LBN Legal business name Wagner, James P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Feb 1st, 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 1851469480 NPPES
Ohio MEDICAID 0306154
Ohio MEDICAID 0049322000

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