Wagshul, Fred Arthur

Wagshul, Fred Arthur is an individual health care provider with primary practice located at 8371 Yankee St , Dayton OH 45458-1810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family Health is his primary health care specialty. Wagshul, Fred Arthur can be contacted via phone (937) 859-5864.

Contact Information

Primary practice address
8371 Yankee St Dayton OH 45458-1810
Phone: (937) 859-5864
Fax: (937) 859-8858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35-054353 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X F09200497 Ohio

Profile Details

NPI number 1336137595
LBN Legal business name Wagshul, Fred Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Nov 10th, 2022 - about 3 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 1336137595 NPPES
Ohio MEDICAID 0636262

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