Jeffrey Douglas Wagner in Sayville - Medical
Jeffrey Douglas Wagner - NPI 1891744967
Jeffrey Douglas Wagner is a Medical in Sayville, New York. Jeffrey Douglas Wagner practices all healthcare services and medical treatments related to Medical. The NPI Number for Jeffrey Douglas Wagner is 1891744967. The last update date is 2007-07-08.
Jeffrey Douglas Wagner's current location address is 18 Ronald Ln, Sayville, New York. You can contact this provider via phone number 6317503924. The mailing address for Jeffrey Douglas Wagner is 18 Ronald Ln, Sayville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Douglas Wagner |
|---|---|
| Address | 18 Ronald Ln, Sayville, New York |
| Phone Number | 6317503924 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1891744967 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18 Ronald Ln |
|---|---|
| City | Sayville |
| State | New York (NY) |
| Post Code | 117821622 |
| Phone Number | 6317503924 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey Douglas Wagner by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffrey Douglas Wagner has been assigned the NPI (National Provider Identifier) 1891744967. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jeffrey Douglas Wagner is physically located?
The Jeffrey Douglas Wagner is situated at the following address: 18 Ronald Ln, Sayville, NY 117821622.
What is the Jeffrey Douglas Wagner's area of specialization and corresponding taxonomy classification?
The Jeffrey Douglas Wagner's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
When did Jeffrey Douglas Wagner receive its 1891744967 assignment?
The Jeffrey Douglas Wagner was assigned its 1891744967 on 2006-05-08, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Jeffrey Douglas Wagner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey Douglas Wagner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.