Wagner, John S
Wagner, John S is an individual health care provider with primary practice located at 3778 Union St , Lafayette IN 47905-4453. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wagner, John S can be contacted via phone (765) 448-1674.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08000532A | Indiana |
Profile Details
| NPI number | 1346221041 |
|---|---|
| LBN Legal business name | Wagner, John S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jan 2nd, 2015 - about 9 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 | 1346221041 | NPPES |
| Indiana | Other | 000000197485 | BLUE CROSS/BLUE SHIELD |
| Indiana | MEDICAID | 100262580 | BLUE CROSS/BLUE SHIELD |
Popular Providers
-
Pucka, James M
983 S Creasy Ln , Lafayette IN 47905-4800 -
Daubenspeck, Michael D
40 Professional Ct , Lafayette IN 47905-5152 -
Williams, Susan Lynn
134 Executive Dr Suite 3, Lafayette IN 47905 -
Lysiak, Roger Edward
677 N 36Th St , Lafayette IN 47905-4475 -
Clifford, Taylor
12 Elston Rd , Lafayette IN 47909-7000 -
Pestle, Christopher Lynn
3554 Promenade Pkwy Ste A , Lafayette IN 47909-8418 -
Winger, Lori Martha
511 S 16Th St , Lafayette IN 47905-1235 -
Shelton, William D
983 S Creasy Ln , Lafayette IN 47905-4800