Wagner, Timothy John
Wagner, Timothy John is an individual health care provider with primary practice located at 118 N Durkee St , Appleton WI 54911-5427. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wagner, Timothy John can be contacted via phone (920) 830-2225.Contact Information
Primary practice address
118 N Durkee St
Appleton WI 54911-5427
Phone: (920) 830-2225
Fax: (920) 830-2221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4002-012 | Wisconsin |
Profile Details
| NPI number | 1215923156 |
|---|---|
| LBN Legal business name | Wagner, Timothy John |
| Credentials | D.C., B.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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