Wagner, Andrew

Wagner, Andrew is an individual health care provider with primary practice located at 2010 Health Campus Drive , Harrisonburg VA 22801-3248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wagner, Andrew can be contacted via phone (540) 689-1000.

Contact Information

Primary practice address
2010 Health Campus Drive Harrisonburg VA 22801-3248
Fax: (540) 434-0550
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101059129 Virginia

Profile Details

NPI number 1992744270
LBN Legal business name Wagner, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Sep 15th, 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 1992744270 NPPES
Virginia MEDICAID 7220065

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