Wagner, John P
Wagner, John P is an individual health care provider with primary practice located at 4465 Darrow Rd , Stow OH 44224-1884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wagner, John P can be contacted via phone (330) 688-9918.Contact Information
Primary practice address
4465 Darrow Rd
Stow OH 44224-1884
Phone: (330) 688-9918
Fax: (330) 688-4718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34004138 | Ohio |
Profile Details
| NPI number | 1104869080 |
|---|---|
| LBN Legal business name | Wagner, John P |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 8th, 2016 - about 8 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 | 1104869080 | NPPES |
| Ohio | MEDICAID | 0722427 |
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