Wallace J Wagner in Sioux City - Chiropractor
Wallace J Wagner - NPI 1275507089
Wallace J Wagner is a Chiropractor in Sioux City, Iowa. Wallace J Wagner practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Wallace J Wagner is 1275507089. The last update date is 2013-12-18.
Wallace J Wagner's current location address is 1723 Grandview Blvd, Sioux City, Iowa. You can contact this provider via phone number 7122581021. The mailing address for Wallace J Wagner is 1723 Grandview Blvd, Sioux City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace J Wagner |
|---|---|
| Address | 1723 Grandview Blvd, Sioux City, Iowa |
| Phone Number | 7122581021 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1275507089 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2013-12-18 |
Provider Mailing Address Detail
| Address | 1723 Grandview Blvd |
|---|---|
| City | Sioux City |
| State | Iowa (IA) |
| Post Code | 511051116 |
| Phone Number | 7122581021 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4516 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wallace J Wagner by the Centers for Medicare & Medicaid Services?
The Wallace J Wagner has been issued the NPI (National Provider Identifier) 1275507089, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Wallace J Wagner is geographically located?
The Wallace J Wagner is physically situated at the following location: 1723 Grandview Blvd, Sioux City, IA, 511051116.
What is the Wallace J Wagner's specialty and taxonomy code?
The Wallace J Wagner's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
When was the Wallace J Wagner's 1275507089 issued?
The Wallace J Wagner's 1275507089 was issued on 2006-02-16.
When was the Wallace J Wagner's information last updated?
The Wallace J Wagner's information was last updated on 2013-12-18.