John Harvey Wagoner in Annapolis - Psychiatry

John Harvey Wagoner - NPI 1245393529

John Harvey Wagoner is a Psychiatry in Annapolis, Maryland. John Harvey Wagoner practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for John Harvey Wagoner is 1245393529. The last update date is 2013-12-04.

John Harvey Wagoner's current location address is 133 Old Solomons Island Road, Annapolis, Maryland. You can contact this provider via phone number 4102669747 and fax number 4102669749. The mailing address for John Harvey Wagoner is 133 Old Solomons Island Road, Annapolis, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name John Harvey Wagoner
Address 133 Old Solomons Island Road, Annapolis, Maryland
Phone Number 4102669747
Fax Number 4102669749
Sole Proprietor N
Credentials M.D., PH.D

NPI Number Detail

NPI Number 1245393529
Provider Enumeration Date 2006-12-18
Last Updated Date 2013-12-04

Provider Mailing Address Detail

Address 133 Old Solomons Island Road
City Annapolis
State Maryland (MD)
Post Code 21401
Phone Number 4102669747
Fax Number 4102669749

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No D48079
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
54297601 MD BCBS OF MD

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FAQs about John Harvey Wagoner

What is the John Harvey Wagoner's unique identification number?

The John Harvey Wagoner has been assigned the NPI (National Provider Identifier) Number 1245393529 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of John Harvey Wagoner?

The John Harvey Wagoner is physically situated at 133 Old Solomons Island Road, in the city of Annapolis, state of MD, with the postal code 21401.

What is the John Harvey Wagoner's specialty and taxonomy code?

The John Harvey Wagoner's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.

When did John Harvey Wagoner receive its 1245393529 assignment?

The John Harvey Wagoner was assigned its 1245393529 on 2006-12-18, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to John Harvey Wagoner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John Harvey Wagoner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-12-04.

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