Wagoner, Nell Ann

Wagoner, Nell Ann is an individual health care provider with primary practice located at 3268 Hospital Dr Suite B , Juneau AK 99801-7808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Wagoner, Nell Ann can be contacted via phone (907) 586-1717.

Contact Information

Primary practice address
3268 Hospital Dr Suite B Juneau AK 99801-7808
Phone: (907) 586-1717
Fax: (907) 586-2677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 2531 Alaska

Profile Details

NPI number 1639261969
LBN Legal business name Wagoner, Nell Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1639261969 NPPES
Alaska Other 152092 INDIV MED
Alaska MEDICAID MD2531 INDIV MED

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