Waggenspack, Wame Nicholas

Waggenspack, Wame Nicholas is an individual health care provider with primary practice located at 8080 Bluebonnet Blvd Suite 1000, Baton Rouge LA 70810-7827. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Waggenspack, Wame Nicholas can be contacted via phone (225) 924-2424.

Contact Information

Primary practice address
8080 Bluebonnet Blvd Suite 1000 Baton Rouge LA 70810-7827
Phone: (225) 924-2424
Fax: (225) 408-7984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19439 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 201531 Louisiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 19439 Mississippi
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 201531 Louisiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 201531 Louisiana

Profile Details

NPI number 1003834169
LBN Legal business name Waggenspack, Wame Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 21st, 2021 - about 4 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 1003834169 NPPES
Mississippi MEDICAID 04476300
Mississippi MEDICAID 1018236

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