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:
Health care specialties
Specialty | Code | License # | 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 3 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 | 1033321914 | NPPES |
Colorado | Other | COA105215 | MEMORIAL HOSPITAL UPIN |
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