Wame Nicholas Waggenspack in Baton Rouge - Sports Medicine

Wame Nicholas Waggenspack - NPI 1003834169

Wame Nicholas Waggenspack is a Sports Medicine in Baton Rouge, Louisiana. Wame Nicholas Waggenspack practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Wame Nicholas Waggenspack is 1003834169. The last update date is 2021-04-21.

Wame Nicholas Waggenspack's current location address is 8080 Bluebonnet Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2259242424 and fax number 2254087984. The mailing address for Wame Nicholas Waggenspack is 8080 Bluebonnet Blvd, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Wame Nicholas Waggenspack
Address 8080 Bluebonnet Blvd, Baton Rouge, Louisiana
Phone Number 2259242424
Fax Number 2254087984
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1003834169
Provider Enumeration Date 2006-07-17
Last Updated Date 2021-04-21

Provider Mailing Address Detail

Address 8080 Bluebonnet Blvd
City Baton Rouge
State Louisiana (LA)
Post Code 708107827
Phone Number 2259242424
Fax Number 2254087984

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 19439
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4476300 MS --
1018236 LA --

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FAQs about Wame Nicholas Waggenspack

What is the unique identification code assigned to Wame Nicholas Waggenspack by the Centers for Medicare & Medicaid Services?

The Wame Nicholas Waggenspack has been issued the NPI (National Provider Identifier) 1003834169. 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 address where Wame Nicholas Waggenspack is geographically located?

The Wame Nicholas Waggenspack is physically situated at the following location: 8080 Bluebonnet Blvd, Baton Rouge, LA, 708107827.

What is Wame Nicholas Waggenspack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Wame Nicholas Waggenspack is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.

On what date did the Wame Nicholas Waggenspack receive the assignment of its 1003834169 from the Centers for Medicare & Medicaid Services?

The Wame Nicholas Waggenspack was issued its 1003834169 by the Centers for Medicare & Medicaid Services on 2006-07-17.

When was the information regarding Wame Nicholas Waggenspack, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wame Nicholas Waggenspack, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-21.

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