Wagner, Jamey Paul
Wagner, Jamey Paul is an sole proprietor health care provider with primary practice located at 8103 Highway 72 W Suite B, Madison AL 35758-9528. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Wagner, Jamey Paul can be contacted via phone (256) 864-8470.Contact Information
Primary practice address
8103 Highway 72 W Suite B
Madison AL 35758-9528
Phone: (256) 864-8470
Fax: (256) 864-8470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | 1765 | Alabama |
Profile Details
| NPI number | 1841346004 |
|---|---|
| LBN Legal business name | Wagner, Jamey Paul |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1841346004 | NPPES |
| Alabama | Other | 641153 | ACN |
| Alabama | Other | 5192287 | ACN |
| Alabama | Other | 51046363 | ACN |
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