Van Wagenen, James B.

Van Wagenen, James B. is an sole proprietor health care provider with primary practice located at 6024 San Juan Ave. , Citrus Heights CA 95610-5643. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition. Chiropractic Providers / Chiropractor is his primary health care specialty. Van Wagenen, James B. can be contacted via phone (916) 725-7533.

Contact Information

Primary practice address
6024 San Juan Ave. Citrus Heights CA 95610-5643
Phone: (916) 725-7533
Fax: (916) 725-0923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 6495 Texas
Chiropractic Providers / Nutrition 111NN1001X DC-30427 California

Profile Details

NPI number 1730196569
LBN Legal business name Van Wagenen, James B.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1730196569 NPPES
California Other DC-30427 CALIF. LICENSE
California MEDICAID C06050433 CALIF. LICENSE
California Other TX6495 CALIF. LICENSE

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