Wagner, John

Wagner, John is an individual health care provider with primary practice located at 6275 E Virginia Beach Blvd Suite 300, Norfolk VA 23502-2851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Wagner, John can be contacted via phone (757) 461-1688.

Contact Information

Primary practice address
6275 E Virginia Beach Blvd Suite 300 Norfolk VA 23502-2851
Phone: (757) 461-1688
Fax: (757) 455-5865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 028497 Virginia

Profile Details

NPI number 1952389710
LBN Legal business name Wagner, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Mar 31st, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952389710 NPPES
Other C00101 MEDICARE LEGACY GROUP
Other CC7688 MEDICARE LEGACY GROUP

Popular Providers