Wagner, James S

Wagner, James S is an individual health care provider with primary practice located at 1300 Anne St Nw , Bemidji MN 56601-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wagner, James S can be contacted via phone (218) 333-5000.

Contact Information

Primary practice address
1300 Anne St Nw Bemidji MN 56601-5103
Phone: (218) 333-5000
Fax: (218) 333-5360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 30763 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 5910 North Dakota

Profile Details

NPI number 1942234851
LBN Legal business name Wagner, James S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 7th, 2022 - about 3 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 1942234851 NPPES
North Dakota Other 1700718 MEDICA #
North Dakota MEDICAID 198200100 MEDICA #
North Dakota Other DA9011015601 MEDICA #
North Dakota Other 142077 MEDICA #
North Dakota Other 676663 MEDICA #
North Dakota Other HP25793 MEDICA #
North Dakota Other 1700497 MEDICA #
North Dakota Other ND200073 MEDICA #
North Dakota Other 28133WA MEDICA #

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