Wagner, Rick Joseph

Wagner, Rick Joseph is an individual health care provider with primary practice located at 825 E 8Th St Ste 202 , Winner SD 57580-2633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wagner, Rick Joseph can be contacted via phone (605) 842-1612.

Contact Information

Primary practice address
825 E 8Th St Ste 202 Winner SD 57580-2633
Phone: (605) 842-1612
Fax: (605) 842-3837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4183 South Dakota

Profile Details

NPI number 1376509687
LBN Legal business name Wagner, Rick Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 13th, 2016 - about 9 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 1376509687 NPPES
South Dakota Other 41831 DAKOTACARE
South Dakota MEDICAID 460381151-13 DAKOTACARE
South Dakota MEDICAID 7301542 DAKOTACARE
South Dakota Other 25420 DAKOTACARE
South Dakota Other 4992949 DAKOTACARE

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