Wagenbach, Philip

Wagenbach, Philip is an individual health care provider with primary practice located at 275 Route 30 N , Bomoseen VT 05732-9647. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Wagenbach, Philip can be contacted via phone (802) 468-5641.

Contact Information

Primary practice address
275 Route 30 N Bomoseen VT 05732-9647
Phone: (802) 468-5641
Fax: (802) 468-2923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001695 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 055-0031268 Vermont

Profile Details

NPI number 1790797116
LBN Legal business name Wagenbach, Philip
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Oct 5th, 2015 - about 9 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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