Wagonfeld, James B
Wagonfeld, James B is an individual health care provider with primary practice located at 2202 S Cedar St Ste. #310, Tacoma WA 98405-2318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wagonfeld, James B can be contacted via phone (253) 272-8148.Contact Information
Primary practice address
2202 S Cedar St Ste. #310
Tacoma WA 98405-2318
Phone: (253) 272-8148
Fax: (253) 404-0506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD00016511 | Washington |
Profile Details
| NPI number | 1861467458 |
|---|---|
| LBN Legal business name | Wagonfeld, James B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Mar 4th, 2008 - about 16 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 | 1861467458 | NPPES |
| Washington | MEDICAID | 825504 |
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