Wagner, Alan
Wagner, Alan is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wagner, Alan can be contacted via phone (607) 763-6104.Contact Information
Primary practice address
33-57 Harrison St
Johnson City NY 13790
Phone: (607) 763-6104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 131339 | New York |
Profile Details
| NPI number | 1649248584 |
|---|---|
| LBN Legal business name | Wagner, Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649248584 | NPPES |
| New York | MEDICAID | 00715655 |
Popular Providers
-
Brunson, John
33-57 Harrison St , Johnson City NY 13790-2107 -
Rothe, Andrea
33-57 Harrison St , Johnson City NY 13790 -
Petro, George
33-57 Harrison St , Johnson City NY 13790-2107 -
Jayaraman, Sundar
32-36 Harrison St , Johnson City NY 13790-2122 -
Puthawala, Anwer
33-57 Harrison Street , Johnson City NY 13790 -
Natarajan, Changa
33-57 Harrison St , Johnson City NY 13790-2143 -
Goldschmidt, Andrew
33-57 Harrison Street , Johnson City NY 13790 -
Gudas, Thomas
33-57 Harrison St , Johnson City NY 13790