Wagley, Craig A

Wagley, Craig A is an individual health care provider with primary practice located at 5437 Mahoning Ave Suite 12, Austintown OH 44515-2437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Wagley, Craig A can be contacted via phone (330) 792-2501.

Contact Information

Primary practice address
5437 Mahoning Ave Suite 12 Austintown OH 44515-2437
Phone: (330) 792-2501
Fax: (330) 792-9249
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 21078 Ohio

Profile Details

NPI number 1235115833
LBN Legal business name Wagley, Craig A
Credentials DDS MD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Feb 8th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235115833 NPPES
Ohio MEDICAID 2134630

Popular Providers