Wagner, Joseph Robert
Wagner, Joseph Robert is an individual health care provider with primary practice located at 85 Seymour St Ste 416, Hartford CT 06106-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wagner, Joseph Robert can be contacted via phone (860) 947-8500.Contact Information
Primary practice address
85 Seymour St Ste 416
Hartford CT 06106-5501
Phone: (860) 947-8500
Fax: (860) 524-8643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 041512 | Connecticut |
Profile Details
| NPI number | 1578550612 |
|---|---|
| LBN Legal business name | Wagner, Joseph Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Feb 5th, 2016 - about 10 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 | 1578550612 | NPPES |
| Connecticut | Other | 010041512CT01 | ANTHEM BCBS |
| Connecticut | Other | 3231961 | ANTHEM BCBS |
| Connecticut | MEDICAID | 2020611 | ANTHEM BCBS |
| Connecticut | Other | 227400 | ANTHEM BCBS |
| Connecticut | MEDICAID | 001415125 | ANTHEM BCBS |
| Connecticut | Other | 2V3291 | ANTHEM BCBS |
| Connecticut | Other | 32475 | ANTHEM BCBS |
| Connecticut | Other | 3528766 009 | ANTHEM BCBS |
| Connecticut | Other | P2913141 | ANTHEM BCBS |
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