Brian K Wagoner in Perrysburg - Chiropractor
Brian K Wagoner - NPI 1235213976
Brian K Wagoner is a Chiropractor in Perrysburg, Ohio. Brian K Wagoner practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brian K Wagoner is 1235213976. The last update date is 2009-07-12.
Brian K Wagoner's current location address is 25139 Ella St, Perrysburg, Ohio. You can contact this provider via phone number 4198376213. The mailing address for Brian K Wagoner is 25139 Ella St, Perrysburg, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian K Wagoner |
|---|---|
| Address | 25139 Ella St, Perrysburg, Ohio |
| Phone Number | 4198376213 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1235213976 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2009-07-12 |
Provider Mailing Address Detail
| Address | 25139 Ella St |
|---|---|
| City | Perrysburg |
| State | Ohio (OH) |
| Post Code | 435519684 |
| Phone Number | 4198376213 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3177 |
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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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What is the unique identifier code issued to Brian K Wagoner by the Centers for Medicare & Medicaid Services?
The Brian K Wagoner has been assigned the NPI (National Provider Identifier) 1235213976. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brian K Wagoner is physically located?
The Brian K Wagoner is physically situated at the following address: 25139 Ella St, Perrysburg, OH, 435519684.
What is Brian K Wagoner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian K Wagoner's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date was the 1235213976 assigned to Brian K Wagoner?
The Brian K Wagoner was issued its 1235213976 on 2006-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Brian K Wagoner most recently updated or revised?
The information pertaining to Brian K Wagoner, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-12.