Wagner, Douglas Scott

Wagner, Douglas Scott is an individual health care provider with primary practice located at 3925 Embassy Pkwy Ste 300 , Akron OH 44333-1799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Wagner, Douglas Scott can be contacted via phone (330) 668-4065.

Contact Information

Primary practice address
3925 Embassy Pkwy Ste 300 Akron OH 44333-1799
Fax: (330) 668-4082
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35.048046 Ohio

Profile Details

NPI number 1356302426
LBN Legal business name Wagner, Douglas Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jun 1st, 2021 - about 3 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 1356302426 NPPES
Ohio MEDICAID 0551764

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