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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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