Wagner, Richard E.M.

Wagner, Richard E.M. is an sole proprietor health care provider with primary practice located at 1600 N Rose Ave , Oxnard CA 93030-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wagner, Richard E.M. can be contacted via phone (805) 988-2843.

Contact Information

Primary practice address
1600 N Rose Ave Oxnard CA 93030-3722
Phone: (805) 988-2843
Fax: (805) 988-2844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G42367 California

Profile Details

NPI number 1316988561
LBN Legal business name Wagner, Richard E.M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jun 1st, 2011 - about 15 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 1316988561 NPPES
California MEDICAID 00G423670

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