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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 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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