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
Phone: (330) 668-4065
Fax: (330) 668-4082
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356302426 | NPPES |
| Ohio | MEDICAID | 0551764 |
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