Timothy Allen Wagner in Broken Arrow - Chiropractor
Timothy Allen Wagner - NPI 1881644292
Timothy Allen Wagner is a Chiropractor in Broken Arrow, Oklahoma. Timothy Allen Wagner practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Timothy Allen Wagner is 1881644292. The last update date is 2014-07-10.
Timothy Allen Wagner's current location address is 2016 W. Houston, Broken Arrow, Oklahoma. You can contact this provider via phone number 9187422094 and fax number 9187422095. The mailing address for Timothy Allen Wagner is 2016 W. Houston, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Allen Wagner |
|---|---|
| Address | 2016 W. Houston, Broken Arrow, Oklahoma |
| Phone Number | 9187422094 |
| Fax Number | 9187422095 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1881644292 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2014-07-10 |
Provider Mailing Address Detail
| Address | 2016 W. Houston |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 74012 |
| Phone Number | 9187422094 |
| Fax Number | 9187422095 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3225 |
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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 identification code assigned to Timothy Allen Wagner by the Centers for Medicare & Medicaid Services?
The Timothy Allen Wagner has been issued the NPI (National Provider Identifier) 1881644292. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Timothy Allen Wagner's facilities are situated?
The facilities of Timothy Allen Wagner are physically located at the following address: 2016 W. Houston, Broken Arrow, OK, 74012.
What is Timothy Allen Wagner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy Allen Wagner is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Timothy Allen Wagner receive its 1881644292 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Allen Wagner was assigned its 1881644292 by the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date were the Timothy Allen Wagner's details last updated?
The information pertaining to the Timothy Allen Wagner, including its address, specialty, and other details, was most recently updated on 2014-07-10.
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