Wagner, Jon-Erik

Wagner, Jon-Erik is an individual health care provider with primary practice located at 40 Arch St , Johnson City NY 13790-2102. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Wagner, Jon-Erik can be contacted via phone (607) 763-6075.

Contact Information

Primary practice address
40 Arch St Johnson City NY 13790-2102
Phone: (607) 763-6075
Fax: (607) 763-5234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1619303104
LBN Legal business name Wagner, Jon-Erik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2013
Last updated Jan 21st, 2014 - about 12 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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