Wagner, Terry John
Wagner, Terry John is an individual health care provider with primary practice located at 5655 Hudson Dr Ste 303 , Hudson OH 44236-4454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wagner, Terry John can be contacted via phone (330) 800-4800.Contact Information
Primary practice address
5655 Hudson Dr Ste 303
Hudson OH 44236-4454
Phone: (330) 800-4800
Fax: (330) 653-3007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34006428 | Ohio |
Profile Details
| NPI number | 1679574834 |
|---|---|
| LBN Legal business name | Wagner, Terry John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Feb 3rd, 2020 - about 5 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 | 1679574834 | NPPES |
| Ohio | Other | 0801451153 | RAILROAD MEDICARE |
| Ohio | MEDICAID | 2041543 | RAILROAD MEDICARE |
Popular Providers
-
Russ, Ronald J
231 Seasons Rd Suite 300, Hudson OH 44224 -
Rivas, Daniel Luis
5700 Darrow Rd Suite 106, Hudson OH 44236-5026 -
Moleski, Jeanette Ann
1320 Corporate Dr 200, Hudson OH 44236-4442 -
Alexander, Victoria R
231 Seasons Rd Suite 300, Hudson OH 44224 -
Seiple, Clayton W
5655 Hudson Dr Ste 130 , Hudson OH 44236-4454 -
Reilly, Tara
7777 Alexandra Dr , Hudson OH 44236-4523 -
Hummel, Rachel L
82 W Streetsboro St , Hudson OH 44236 -
Tosino, Jon E
231 Seasons Rd Suite 300, Hudson OH 44224