Wagner, Scott Erik

Wagner, Scott Erik is an individual health care provider with primary practice located at 1505 W Sherman Ave , Vineland NJ 08360-6912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wagner, Scott Erik can be contacted via phone (856) 641-8000.

Contact Information

Primary practice address
1505 W Sherman Ave Vineland NJ 08360-6912
Phone: (856) 641-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MA74030 New Jersey

Profile Details

NPI number 1356452064
LBN Legal business name Wagner, Scott Erik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1356452064 NPPES
New Jersey MEDICAID 8875103

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