Wagner, Peter William

Wagner, Peter William is an individual health care provider with primary practice located at 30 W Mccreight Ave Suite 208, Springfield OH 45504-1842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wagner, Peter William can be contacted via phone (937) 399-7021.

Contact Information

Primary practice address
30 W Mccreight Ave Suite 208 Springfield OH 45504-1842
Phone: (937) 399-7021
Fax: (937) 399-0697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OH35-04-2823 Ohio

Profile Details

NPI number 1174531388
LBN Legal business name Wagner, Peter William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174531388 NPPES
Ohio MEDICAID 0431590

Popular Providers