Wagoner, Lynne E
Wagoner, Lynne E is an individual health care provider with primary practice located at 3000 Mack Rd Suite 100, Fairfield OH 45014-5335. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Wagoner, Lynne E can be contacted via phone (513) 751-4222.Contact Information
Primary practice address
3000 Mack Rd Suite 100
Fairfield OH 45014-5335
Phone: (513) 751-4222
Fax: (513) 751-4353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35.067216 | Ohio |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | 35.067216 | Ohio |
Profile Details
| NPI number | 1831147099 |
|---|---|
| LBN Legal business name | Wagoner, Lynne E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jan 25th, 2017 - about 8 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 | 1831147099 | NPPES |
| Ohio | MEDICAID | 0982816 | |
| Ohio | MEDICAID | 64936057 | |
| Ohio | MEDICAID | 200036340 |
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