Wagner, Thomas H

Wagner, Thomas H is an sole proprietor health care provider with primary practice located at 307 Boatner Rd Elgin Hospital, Eglin Afb FL 32542-1391. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Wagner, Thomas H can be contacted via phone (850) 883-8282.

Contact Information

Primary practice address
307 Boatner Rd Elgin Hospital Eglin Afb FL 32542-1391
Phone: (850) 883-8282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DR.0051131 Colorado
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2016-00802 North Carolina

Profile Details

NPI number 1740251230
LBN Legal business name Wagner, Thomas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Apr 14th, 2023 - about last year

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 1740251230 NPPES
Colorado MEDICAID 44670061

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