Wagner, Scott A
Wagner, Scott A is an individual health care provider with primary practice located at 5301 Virginia Way 300, Brentwood TN 37027-7541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Wagner, Scott A can be contacted via phone (615) 221-4474.Contact Information
Primary practice address
5301 Virginia Way 300
Brentwood TN 37027-7541
Phone: (615) 221-4474
Fax: (615) 234-3774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 1036220 | Indiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 1036220 | Indiana |
Profile Details
| NPI number | 1396781407 |
|---|---|
| LBN Legal business name | Wagner, Scott A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Jan 9th, 2012 - about 14 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 | 1396781407 | NPPES |
| Indiana | Other | P00685220 | RAILROAD MEDICARE |
| Indiana | Other | 000000487827 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 100324330 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 2673665 | RAILROAD MEDICARE |
| Indiana | Other | 000000587063 | RAILROAD MEDICARE |
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