John Wager in Mountain View - Rehabilitation

John Wager - NPI 1417168642

John Wager is a Rehabilitation in Mountain View, California. John Wager practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for John Wager is 1417168642. The last update date is 2015-11-11.

John Wager's current location address is 2485 Hospital Dr, Mountain View, California. You can contact this provider via phone number 6506877322 and fax number 6509887674. The mailing address for John Wager is 2485 Hospital Dr, Mountain View, California. To know further, please read the information below!

Provider Profile Detail

Provider Name John Wager
Address 2485 Hospital Dr, Mountain View, California
Phone Number 6506877322
Fax Number 6509887674
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1417168642
Provider Enumeration Date 2007-05-28
Last Updated Date 2015-11-11

Provider Mailing Address Detail

Address 2485 Hospital Dr
City Mountain View
State California (CA)
Post Code 940404101
Phone Number 6506877322
Fax Number 6509887674

Provider's Primary Taxonomy Detail

Speciality Rehabilitation
Taxonomy 103Tr0400X
Licence No 23806
Definition:
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
46-3467093 CA TAX IDENTIFICATION

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FAQs about John Wager

What is the unique 10-digit identifier code issued to John Wager by the Centers for Medicare & Medicaid Services?

The John Wager has been assigned the NPI (National Provider Identifier) 1417168642 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where John Wager is physically located?

The John Wager is physically situated at the following address: 2485 Hospital Dr, Mountain View, CA, 940404101.

What is John Wager's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Wager's specialized field of practice is Rehabilitation, and the corresponding taxonomy code that categorizes this area of specialization is 103Tr0400X.

On what date did the John Wager receive its 1417168642 assignment from the Centers for Medicare & Medicaid Services?

The John Wager was assigned its 1417168642 by the Centers for Medicare & Medicaid Services on 2007-05-28.

When was the information related to John Wager most recently updated or refreshed?

The details pertaining to the John Wager, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-11-11.

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