Wagner, John
Wagner, John is an individual health care provider with primary practice located at 35 Colgate St , Jersey City NJ 07302-3307. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wagner, John can be contacted via phone (201) 547-2093.Contact Information
Primary practice address
35 Colgate St
Jersey City NJ 07302-3307
Phone: (201) 547-2093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 25MT00083700 | New Jersey |
Profile Details
| NPI number | 1386697019 |
|---|---|
| LBN Legal business name | Wagner, John |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Apr 29th, 2008 - 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.
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