Wagner, Klaus Wolfgang

Wagner, Klaus Wolfgang is an sole proprietor health care provider with primary practice located at 3350 La Jolla Village Dr Va Hematology/Oncology, San Diego CA 92161-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Wagner, Klaus Wolfgang can be contacted via phone (858) 552-8585.

Contact Information

Primary practice address
3350 La Jolla Village Dr Va Hematology/Oncology San Diego CA 92161-0002
Phone: (858) 552-8585
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X A119744 California

Profile Details

NPI number 1841458023
LBN Legal business name Wagner, Klaus Wolfgang
Credentials MD PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2008
Last updated Jan 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841458023 NPPES
Texas MEDICAID 207614301
Texas Other A119744

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