Wagner, Peter B

Wagner, Peter B is an individual health care provider with primary practice located at 115 Heart Dr , Greenville NC 27834-8982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wagner, Peter B can be contacted via phone (252) 744-4400.

Contact Information

Primary practice address
115 Heart Dr Greenville NC 27834-8982
Phone: (252) 744-4400
Fax: (252) 744-3987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9500471 North Carolina

Profile Details

NPI number 1598734196
LBN Legal business name Wagner, Peter B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 11th, 2024 - about 6 months 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 1598734196 NPPES
North Carolina Other 85205 BCBS
North Carolina MEDICAID 8985205 BCBS
North Carolina Other 060033560 BCBS
North Carolina Other 58761 BCBS
North Carolina Other 561638624 BCBS

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