Wagner, Joseph F

Wagner, Joseph F is an individual health care provider with primary practice located at 252 Mchenry St , Burlington WI 53105-1838. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Wagner, Joseph F can be contacted via phone (262) 767-6100.

Contact Information

Primary practice address
252 Mchenry St Burlington WI 53105-1838
Phone: (262) 767-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4986 Wisconsin

Profile Details

NPI number 1336499888
LBN Legal business name Wagner, Joseph F
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2012
Last updated Apr 6th, 2023 - about 2 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 1336499888 NPPES
Wisconsin MEDICAID 100025339

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