Wagner, Johnathan Livingston

Wagner, Johnathan Livingston is an sole proprietor health care provider with primary practice located at 542 N Ridgewood Ave , Daytona Beach FL 32114-2170. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Wagner, Johnathan Livingston can be contacted via phone (386) 258-7494.

Contact Information

Primary practice address
542 N Ridgewood Ave Daytona Beach FL 32114-2170
Phone: (386) 258-7494
Fax: (386) 253-0365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X CH8731 Florida

Profile Details

NPI number 1881628220
LBN Legal business name Wagner, Johnathan Livingston
Credentials BS,DC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Feb 15th, 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.

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