Wagner, Timothy Allen

Wagner, Timothy Allen is an individual health care provider with primary practice located at 2016 W. Houston , Broken Arrow OK 74012. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wagner, Timothy Allen can be contacted via phone (918) 742-2094.

Contact Information

Primary practice address
2016 W. Houston Broken Arrow OK 74012
Phone: (918) 742-2094
Fax: (918) 742-2095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3225 Oklahoma

Profile Details

NPI number 1881644292
LBN Legal business name Wagner, Timothy Allen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 10th, 2014 - about 12 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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