Wagner, Jason Michael

Wagner, Jason Michael is an individual health care provider with primary practice located at 940 Ne 13Th St Suite 4G4250, Oklahoma City OK 73104-5008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wagner, Jason Michael can be contacted via phone (405) 271-5125.

Contact Information

Primary practice address
940 Ne 13Th St Suite 4G4250 Oklahoma City OK 73104-5008
Phone: (405) 271-5125
Fax: (405) 271-3462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 24510 Oklahoma

Profile Details

NPI number 1972594471
LBN Legal business name Wagner, Jason Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 24th, 2010 - about 16 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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