Wagner, John

Wagner, John is an sole proprietor health care provider with primary practice located at 3079 Nestall Rd , Laguna Beach CA 92651-2026. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wagner, John can be contacted via phone (949) 295-7133.

Contact Information

Primary practice address
3079 Nestall Rd Laguna Beach CA 92651-2026
Phone: (949) 295-7133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 38080 California

Profile Details

NPI number 1326323221
LBN Legal business name Wagner, John
Credentials D.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2011
Last updated Oct 12th, 2011 - about 15 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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