Waggoner, John W.
Waggoner, John W. is an individual health care provider with primary practice located at 500 Lilly Rd Ne Suite 100, Olympia WA 98506-5195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Waggoner, John W. can be contacted via phone (360) 413-5825.Contact Information
Primary practice address
500 Lilly Rd Ne Suite 100
Olympia WA 98506-5195
Phone: (360) 413-5825
Fax: (360) 413-8837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD00046169 | Washington |
Profile Details
| NPI number | 1922053016 |
|---|---|
| LBN Legal business name | Waggoner, John W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Apr 28th, 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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