Wagner, Steven Daniel

Wagner, Steven Daniel is an sole proprietor health care provider with primary practice located at 114 Mission Ranch Blvd Ste 10, Chico CA 95926-2186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wagner, Steven Daniel can be contacted via phone (530) 894-0500.

Contact Information

Primary practice address
114 Mission Ranch Blvd Ste 10 Chico CA 95926-2186
Fax: (530) 345-2532
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 020A53980 California

Profile Details

NPI number 1326033614
LBN Legal business name Wagner, Steven Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Feb 3rd, 2010 - about 15 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 1326033614 NPPES
California MEDICAID 00AX53980

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