Wagner, Suzanne
Wagner, Suzanne is an individual health care provider with primary practice located at 1046 E Wendover Ave , Greensboro NC 27405-6712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wagner, Suzanne can be contacted via phone (336) 272-1050.Contact Information
Primary practice address
1046 E Wendover Ave
Greensboro NC 27405-6712
Phone: (336) 272-1050
Fax: (336) 272-1110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29970 | North Carolina |
Profile Details
| NPI number | 1902801079 |
|---|---|
| LBN Legal business name | Wagner, Suzanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Mar 7th, 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 | 1902801079 | NPPES |
| North Carolina | Other | 29970 | NC LICENSE |
| North Carolina | MEDICAID | 7985192 | NC LICENSE |
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