Wagner, Justin Roman

Wagner, Justin Roman is an individual health care provider with primary practice located at Rec Center Physical Therapy 400 Collins Rd Ne 154-100, Cedar Rapids IA 52498-0001. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wagner, Justin Roman can be contacted via phone (319) 295-8899.

Contact Information

Primary practice address
Rec Center Physical Therapy 400 Collins Rd Ne 154-100 Cedar Rapids IA 52498-0001
Phone: (319) 295-8899
Fax: (319) 295-8833
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 03670 Iowa

Profile Details

NPI number 1669451472
LBN Legal business name Wagner, Justin Roman
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Oct 2nd, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669451472 NPPES
Iowa Other 38070 WELLMARK PROVIDER NUMBER

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