Wager, John

Wager, John is an sole proprietor health care provider with primary practice located at 2485 Hospital Dr Suite #351, Mountain View CA 94040-4101. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Wager, John can be contacted via phone (650) 687-7322.

Contact Information

Primary practice address
2485 Hospital Dr Suite #351 Mountain View CA 94040-4101
Phone: (650) 687-7322
Fax: (650) 988-7674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 23806 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X 23806 California
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 23806 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 23806 California

Profile Details

NPI number 1417168642
LBN Legal business name Wager, John
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2007
Last updated Nov 11th, 2015 - about 10 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 1417168642 NPPES
California Other 46-3467093 TAX IDENTIFICATION

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