Wagner, William

Wagner, William is an sole proprietor health care provider with primary practice located at 820 N Chelan Ave , Wenatchee WA 98801-2028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Wagner, William can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
820 N Chelan Ave Wenatchee WA 98801-2028
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD60745887 Washington

Profile Details

NPI number 1609942085
LBN Legal business name Wagner, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609942085 NPPES
Washington MEDICAID 1609942085

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