Wagner, Troy D
Wagner, Troy D is an individual health care provider with primary practice located at 2900 12Th Ave N Suite 140W, Billings MT 59101-7506. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wagner, Troy D can be contacted via phone (406) 238-6540.Contact Information
Primary practice address
2900 12Th Ave N Suite 140W
Billings MT 59101-7506
Phone: (406) 238-6540
Fax: (406) 238-6599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 442 | Montana |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MED-PAC-LIC-442 | Montana |
Profile Details
NPI number | 1790732204 |
---|---|
LBN Legal business name | Wagner, Troy D |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 28th, 2006 |
Last updated | Dec 14th, 2021 - about 3 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 | 1790732204 | NPPES |
Montana | MEDICAID | 4307970 | |
Montana | Other | 000900323 |
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