Wagner, John H

Wagner, John H is an individual health care provider with primary practice located at 401 Arnold St Ne , Cullman AL 35055-1968. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Wagner, John H can be contacted via phone (256) 739-9593.

Contact Information

Primary practice address
401 Arnold St Ne Cullman AL 35055-1968
Phone: (256) 739-9593
Fax: (256) 739-2984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 8613 Alabama

Profile Details

NPI number 1487634085
LBN Legal business name Wagner, John H
Credentials M.D., C.M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 2nd, 2009 - about 17 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 1487634085 NPPES
Alabama Other 051551301 BC/BS OF ALABAMA
Alabama MEDICAID 009935241 BC/BS OF ALABAMA
Alabama Other 010066311 BC/BS OF ALABAMA
Alabama Other 51027867 BC/BS OF ALABAMA
Alabama MEDICAID 000027867 BC/BS OF ALABAMA

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