Wagman, Armin Jared

Wagman, Armin Jared is an individual health care provider with primary practice located at 4350 S National Ave # C-100, Springfield MO 65810-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Wagman, Armin Jared can be contacted via phone (417) 447-4700.

Contact Information

Primary practice address
4350 S National Ave # C-100 Springfield MO 65810-2607
Fax: (417) 447-4701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X R3P31 Missouri

Profile Details

NPI number 1710983291
LBN Legal business name Wagman, Armin Jared
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Feb 3rd, 2010 - about 14 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 1710983291 NPPES
Missouri MEDICAID 203144100
Missouri MEDICAID 150780001
Missouri MEDICAID 20000020 A
Missouri MEDICAID 100006210A

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