John Wagner in Norfolk - Neuromusculoskeletal Medicine & Omm

John Wagner - NPI 1952389710

John Wagner is a Neuromusculoskeletal Medicine & Omm in Norfolk, Virginia. John Wagner practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for John Wagner is 1952389710. The last update date is 2008-03-31.

John Wagner's current location address is 6275 E Virginia Beach Blvd, Norfolk, Virginia. You can contact this provider via phone number 7574611688 and fax number 7574555865. The mailing address for John Wagner is 6275 E Virginia Beach Blvd, Norfolk, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name John Wagner
Address 6275 E Virginia Beach Blvd, Norfolk, Virginia
Phone Number 7574611688
Fax Number 7574555865
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1952389710
Provider Enumeration Date 2006-01-03
Last Updated Date 2008-03-31

Provider Mailing Address Detail

Address 6275 E Virginia Beach Blvd
City Norfolk
State Virginia (VA)
Post Code 235022851
Phone Number 7574611688
Fax Number 7574555865

Provider's Primary Taxonomy Detail

Speciality Neuromusculoskeletal Medicine & Omm
Taxonomy 204D00000X
Licence No 28497
Definition:
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C00101 MEDICARE LEGACY GROUP
CC7688 RAILROAD MEDICARE GROUP#

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FAQs about John Wagner

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

The John Wagner has been issued the NPI (National Provider Identifier) 1952389710 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of John Wagner?

The John Wagner is situated at 6275 E Virginia Beach Blvd, in the city of Norfolk, state of VA, with the zip code 235022851.

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

The specialized area of practice for John Wagner is Neuromusculoskeletal Medicine & Omm, and the taxonomy code that categorizes this field of expertise is 204D00000X.

On what date was the 1952389710 assigned to John Wagner?

The John Wagner was issued its 1952389710 on 2006-01-03, 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 John Wagner's details last updated?

The information pertaining to the John Wagner, including its address, specialty, and other details, was most recently updated on 2008-03-31.

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