Wagner, Jason Cass
Wagner, Jason Cass is an individual health care provider with primary practice located at 400 S Kingshighway Blvd Dept Emergency Med, Saint Louis MO 63110-1014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wagner, Jason Cass can be contacted via phone (314) 362-9123.Contact Information
Primary practice address
400 S Kingshighway Blvd Dept Emergency Med
Saint Louis MO 63110-1014
Phone: (314) 362-9123
Fax: (314) 747-3338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2004011875 | Missouri |
Profile Details
| NPI number | 1689641961 |
|---|---|
| LBN Legal business name | Wagner, Jason Cass |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2006 |
| Last updated | Apr 25th, 2024 - about 5 months 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 | 1689641961 | NPPES |
| Missouri | MEDICAID | 207243700 |
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