Wagner, George G

Wagner, George G is an individual health care provider with primary practice located at 5400 Kennedy Ave , Cincinnati OH 45213-2664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wagner, George G can be contacted via phone (513) 281-3400.

Contact Information

Primary practice address
5400 Kennedy Ave Cincinnati OH 45213-2664
Phone: (513) 281-3400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35054831 Ohio
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 35054831 Ohio

Profile Details

NPI number 1992752265
LBN Legal business name Wagner, George G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Aug 8th, 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 1992752265 NPPES
Ohio MEDICAID 0816406
Ohio MEDICAID 64865140

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