Wagner, John F
Wagner, John F is an individual health care provider with primary practice located at 7120 Clearvista Dr Suite 4000, Indianapolis IN 46256-1774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wagner, John F can be contacted via phone (317) 577-7444.Contact Information
Primary practice address
7120 Clearvista Dr Suite 4000
Indianapolis IN 46256-1774
Phone: (317) 577-7444
Fax: (317) 577-7433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01039812A | Indiana |
Profile Details
| NPI number | 1336121870 |
|---|---|
| LBN Legal business name | Wagner, John F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Nov 27th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336121870 | NPPES |
| Indiana | MEDICAID | 100370080 | |
| Indiana | Other | 000000647926 |
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