Wagner, Richard Kent

Wagner, Richard Kent is an individual health care provider with primary practice located at 263 Farmington Avenue , Farmington CT 06030-8085. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Wagner, Richard Kent can be contacted via phone (860) 679-3387.

Contact Information

Primary practice address
263 Farmington Avenue Farmington CT 06030-8085
Phone: (860) 679-3387
Fax: (860) 679-1494
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X Q9542 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD34869 Tennessee
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 34869 Tennessee
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 067319 Connecticut

Profile Details

NPI number 1003858952
LBN Legal business name Wagner, Richard Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 5th, 2021 - about 3 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 1003858952 NPPES
Mississippi MEDICAID 03079002
Mississippi Other 160058729
Mississippi Other 4039002
Mississippi Other 8LP486
Mississippi MEDICAID 362343103
Mississippi Other P02351968
Mississippi MEDICAID 3862861
Mississippi Other 861880

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