Wagenaar, James S

Wagenaar, James S is an individual health care provider with primary practice located at 1408 Campbell Dr , Ironton OH 45638-2301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wagenaar, James S can be contacted via phone (740) 533-9710.

Contact Information

Primary practice address
1408 Campbell Dr Ironton OH 45638-2301
Phone: (740) 533-9710
Fax: (740) 533-9712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34005359 Ohio
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 34005359 Ohio

Profile Details

NPI number 1194768754
LBN Legal business name Wagenaar, James S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Oct 29th, 2020 - about 5 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 1194768754 NPPES
Other 000000493481 ANTHEM BCBS
Other 000702618 ANTHEM BCBS
Other 000000210197 ANTHEM BCBS
Other 310917085154 ANTHEM BCBS
MEDICAID 0043615000 ANTHEM BCBS
MEDICAID 0843529 ANTHEM BCBS

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