Wagner, Leonard Y
Wagner, Leonard Y is an sole proprietor health care provider with primary practice located at 299 Carew St Suite 409, Springfield MA 01104-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wagner, Leonard Y can be contacted via phone (413) 734-3476.Contact Information
Primary practice address
299 Carew St Suite 409
Springfield MA 01104-2301
Phone: (413) 734-3476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 47835 | Massachusetts |
Profile Details
| NPI number | 1568457778 |
|---|---|
| LBN Legal business name | Wagner, Leonard Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Mar 10th, 2010 - about 14 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 | 1568457778 | NPPES |
| Massachusetts | Other | B33635 | BLUE CROSS |
| Massachusetts | MEDICAID | 0143863 | BLUE CROSS |
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