Wagner, Ryan Scott

Wagner, Ryan Scott is an individual health care provider with primary practice located at 140 Hill St Suite B, Bucyrus OH 44820-1566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wagner, Ryan Scott can be contacted via phone (419) 562-5281.

Contact Information

Primary practice address
140 Hill St Suite B Bucyrus OH 44820-1566
Phone: (419) 562-5281
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35.096738 Ohio

Profile Details

NPI number 1134372980
LBN Legal business name Wagner, Ryan Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2008
Last updated Jan 8th, 2021 - about 4 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 1134372980 NPPES
Ohio MEDICAID 2263161

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