James A Wagner in Racine - Addiction (substance Use Disorder)
James A Wagner - NPI 1376718288
James A Wagner is a Addiction (substance Use Disorder) in Racine, Wisconsin. James A Wagner practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for James A Wagner is 1376718288. The last update date is 2008-04-23.
James A Wagner's current location address is 524 Main Street, Racine, Wisconsin. You can contact this provider via phone number 2626321780 and fax number 2626320895. The mailing address for James A Wagner is 524 Main Street, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James A Wagner |
|---|---|
| Address | 524 Main Street, Racine, Wisconsin |
| Phone Number | 2626321780 |
| Fax Number | 2626320895 |
| Sole Proprietor | N |
| Credentials | CADCIII-RC |
NPI Number Detail
| NPI Number | 1376718288 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 524 Main Street |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 534031032 |
| Phone Number | 2626321780 |
| Fax Number | 2626320895 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 10328 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39172800 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to James A Wagner by the Centers for Medicare & Medicaid Services (CMS)?
The James A Wagner has been assigned the NPI (National Provider Identifier) 1376718288. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where James A Wagner is physically located?
The James A Wagner is physically situated at the following address: 524 Main Street, Racine, WI, 534031032.
What is the area of specialization for James A Wagner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for James A Wagner is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
When did James A Wagner receive its 1376718288 assignment?
The James A Wagner was assigned its 1376718288 on 2008-04-23, which is the date when this unique identifier was issued to the organization.
When was the information regarding James A Wagner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James A Wagner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-23.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY