Wagoner, John Harvey

Wagoner, John Harvey is an individual health care provider with primary practice located at 133 Old Solomons Island Road Bayshore Counseling And Psychological Services, Llc, Annapolis MD 21401. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Wagoner, John Harvey can be contacted via phone (410) 266-9747.

Contact Information

Primary practice address
133 Old Solomons Island Road Bayshore Counseling And Psychological Services, Llc Annapolis MD 21401
Phone: (410) 266-9747
Fax: (410) 266-9749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 03283 Maryland
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D48079 Maryland

Profile Details

NPI number 1245393529
LBN Legal business name Wagoner, John Harvey
Credentials M.D., PH.D., MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Dec 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245393529 NPPES
Maryland Other 54297601 BCBS OF MD

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