Wagner, Jeffrey C

Wagner, Jeffrey C is an individual health care provider with primary practice located at 499 E Hampden Ave Suite 360, Englewood CO 80113-2780. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Wagner, Jeffrey C can be contacted via phone (303) 781-4485.

Contact Information

Primary practice address
499 E Hampden Ave Suite 360 Englewood CO 80113-2780
Phone: (303) 781-4485
Fax: (303) 788-7666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 26744 Nebraska
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 6312366-1205 Utah
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 48115 Colorado

Profile Details

NPI number 1033321914
LBN Legal business name Wagner, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 1st, 2021 - about 5 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 1033321914 NPPES
Colorado Other COA105215 MEMORIAL HOSPITAL UPIN

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