Wagmeister, Lee S

Wagmeister, Lee S is an individual health care provider with primary practice located at 4015 Gateway Blvd Suite 2120, Newburgh IN 47630-8925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Wagmeister, Lee S can be contacted via phone (812) 842-0907.

Contact Information

Primary practice address
4015 Gateway Blvd Suite 2120 Newburgh IN 47630-8925
Phone: (812) 842-0907
Fax: (812) 464-0536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01052501A Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 36924 Kentucky

Profile Details

NPI number 1063470649
LBN Legal business name Wagmeister, Lee S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated May 17th, 2016 - about 9 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 1063470649 NPPES
Kentucky MEDICAID 64024532
Kentucky Other 438544
Kentucky MEDICAID 200267590
Kentucky Other 000000174053
Kentucky Other 0000475621-01
Kentucky Other 330005278
Kentucky Other 832011P

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