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WAGNER CHIROPRACTIC PA NPI 1346420114


NPI Information

NPI: 1346420114
Provider Name: WAGNER CHIROPRACTIC PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2755 S BAY ST
SUITE D
EUSTIS, FL
ZIP 32726
Phone: (352) 589-5443
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WAGNER CHIROPRACTIC PA is a chiropractor in Eustis, FL. The provider is 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 interrelationship with other body systems. WAGNER CHIROPRACTIC PA NPI is 1346420114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2755 S BAY ST
SUITE D
EUSTIS, FL
ZIP 32726-587
Phone: (352) 589-5443
Fax: (352) 589-5549

The provider's authorized official is Ramah J Wagner .
The authorized official title is Physician and has the following contact phone number (352) 589-5543.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 11/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH8955FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K9341MEDICARE PINFLORIDA
296871OTHERFLORIDABLUE CROSS BLUE SHIELD FL
396871ZMEDICARE PIN
4V08081MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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