Wagner, Thor

Wagner, Thor is an individual health care provider with primary practice located at 1959 Ne Pacific St C212, Box 356340, Seattle WA 98195-6340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Wagner, Thor can be contacted via phone (206) 543-0065.

Contact Information

Primary practice address
1959 Ne Pacific St C212, Box 356340 Seattle WA 98195-6340
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X MD00044528 Washington

Profile Details

NPI number 1447333521
LBN Legal business name Wagner, Thor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 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.

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