Wagner, James M
Wagner, James M is an sole proprietor health care provider with primary practice located at 107 Ridgely Ave Ste. 11, Annapolis MD 21401-1417. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Wagner, James M can be contacted via phone (410) 267-0033.Contact Information
Primary practice address
107 Ridgely Ave Ste. 11
Annapolis MD 21401-1417
Phone: (410) 267-0033
Fax: (410) 267-0667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 1457/PT | Maryland |
Profile Details
| NPI number | 1083791818 |
|---|---|
| LBN Legal business name | Wagner, James M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jan 8th, 2013 - about 11 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 | 1083791818 | NPPES |
| Maryland | Other | M155 | BCBS |
| Maryland | Other | W2090001 | BCBS |
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