Wagner, Stephanie Ann

Wagner, Stephanie Ann is an individual health care provider with primary practice located at 535 Barnhill Dr , Indianapolis IN 46202-5116. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Wagner, Stephanie Ann can be contacted via phone (317) 944-8660.

Contact Information

Primary practice address
535 Barnhill Dr Indianapolis IN 46202-5116
Phone: (317) 944-8660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 38720 Kentucky
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 01065554A Indiana

Profile Details

NPI number 1376680876
LBN Legal business name Wagner, Stephanie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Aug 30th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376680876 NPPES
Indiana Other 000000991170 ANTHEM PIN
Indiana Other 50020098 ANTHEM PIN
Indiana MEDICAID 7100058720 ANTHEM PIN
Indiana MEDICAID 200911200 ANTHEM PIN

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