Wagner, Joni

Wagner, Joni is an individual health care provider with primary practice located at 740 S Hill St , Salem SD 57058-8760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wagner, Joni can be contacted via phone (605) 425-2855.

Contact Information

Primary practice address
740 S Hill St Salem SD 57058-8760
Phone: (605) 425-2855
Fax: (605) 425-2149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0481 South Dakota

Profile Details

NPI number 1992775027
LBN Legal business name Wagner, Joni
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Dec 27th, 2017 - about 9 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 1992775027 NPPES
South Dakota Other 01-11971 MEDICA
South Dakota Other S1639 MEDICA
South Dakota Other 2843 MEDICA
South Dakota Other 234724 MEDICA
South Dakota Other 9238086 MEDICA
South Dakota Other HP34870 MEDICA
South Dakota Other 4997236 MEDICA
South Dakota MEDICAID 6823310 MEDICA
South Dakota Other AH1311029419 MEDICA

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