Wagner, John G

Wagner, John G is an individual health care provider with primary practice located at 5149 N 9Th Ave Suite 120, Pensacola FL 32504-8734. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Wagner, John G can be contacted via phone (850) 477-9253.

Contact Information

Primary practice address
5149 N 9Th Ave Suite 120 Pensacola FL 32504-8734
Phone: (850) 477-9253
Fax: (850) 494-9843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME0076654 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME0076654 Florida

Profile Details

NPI number 1528043536
LBN Legal business name Wagner, John G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Apr 11th, 2011 - about 13 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 1528043536 NPPES
Florida MEDICAID 254788100

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