Wagner, Joseph E.

Wagner, Joseph E. is an individual health care provider with primary practice located at 6424 E Broadway Rd Ste 101 , Mesa AZ 85206-1750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wagner, Joseph E. can be contacted via phone (480) 456-9000.

Contact Information

Primary practice address
6424 E Broadway Rd Ste 101 Mesa AZ 85206-1750
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 28167 Arizona

Profile Details

NPI number 1609865559
LBN Legal business name Wagner, Joseph E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Feb 13th, 2019 - about 7 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 1609865559 NPPES
Arizona MEDICAID 508476

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