Waggoner, Christopher George

Waggoner, Christopher George is an individual health care provider with primary practice located at 2150 Highway 54 S , Alamogordo NM 88310-7330. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Waggoner, Christopher George can be contacted via phone (575) 443-8133.

Contact Information

Primary practice address
2150 Highway 54 S Alamogordo NM 88310-7330
Phone: (575) 443-8133
Fax: (575) 443-8055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R45721 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP01097 New Mexico

Profile Details

NPI number 1689667131
LBN Legal business name Waggoner, Christopher George
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Dec 23rd, 2013 - about 11 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 1689667131 NPPES
New Mexico MEDICAID B4944

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