Wagner, Stephen Irwin
Wagner, Stephen Irwin is an individual health care provider with primary practice located at 401 Oakfield Dr , Brandon FL 33511-5710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wagner, Stephen Irwin can be contacted via phone (813) 654-2273.Contact Information
Primary practice address
401 Oakfield Dr
Brandon FL 33511-5710
Phone: (813) 654-2273
Fax: (813) 654-1384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME15542 | Florida |
Profile Details
| NPI number | 1023009461 |
|---|---|
| LBN Legal business name | Wagner, Stephen Irwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Feb 9th, 2016 - about 8 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 | 1023009461 | NPPES |
| Florida | MEDICAID | 057050800 |
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