Wagner, Wallace J
Wagner, Wallace J is an sole proprietor health care provider with primary practice located at 1723 Grandview Blvd , Sioux City IA 51105-1116. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wagner, Wallace J can be contacted via phone (712) 258-1021.Contact Information
Primary practice address
1723 Grandview Blvd
Sioux City IA 51105-1116
Phone: (712) 258-1021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 04516 | Iowa |
Profile Details
| NPI number | 1275507089 |
|---|---|
| LBN Legal business name | Wagner, Wallace J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Dec 18th, 2013 - about 11 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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