Wagner, Jennifer A

Wagner, Jennifer A is an individual health care provider with primary practice located at 4420 76Th St Ne , Marysville WA 98270-3726. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Wagner, Jennifer A can be contacted via phone (360) 651-7490.

Contact Information

Primary practice address
4420 76Th St Ne Marysville WA 98270-3726
Phone: (360) 651-7490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26711 Nebraska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2017024333 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-39770 Kansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD61398282 Washington

Profile Details

NPI number 1992022230
LBN Legal business name Wagner, Jennifer A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2010
Last updated Apr 22nd, 2024 - about 2 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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