Wagner, James L

Wagner, James L is an individual health care provider with primary practice located at 6900 Pearl Road 2Nd Floor, Middleburg Heights OH 44130-3639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Wagner, James L can be contacted via phone (440) 845-0900.

Contact Information

Primary practice address
6900 Pearl Road 2Nd Floor Middleburg Heights OH 44130-3639
Phone: (440) 845-0900
Fax: (440) 845-7355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 35052657 Ohio

Profile Details

NPI number 1184753782
LBN Legal business name Wagner, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Apr 18th, 2012 - about 13 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 1184753782 NPPES
Ohio MEDICAID 2152138

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