Wagstaff, Stephen John

Wagstaff, Stephen John is an sole proprietor health care provider with primary practice located at 1321 South Eliseo Drive , Greenbrae CA 94904. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Wagstaff, Stephen John can be contacted via phone (415) 925-1150.

Contact Information

Primary practice address
1321 South Eliseo Drive Greenbrae CA 94904
Phone: (415) 925-1150
Fax: (415) 925-1154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X E4439 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4439 California

Profile Details

NPI number 1831196849
LBN Legal business name Wagstaff, Stephen John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Feb 18th, 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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