| Joseph Vanwagner, DC | |
|
470 Home Dr, Pittsburgh, PA 15275-1204 | |
| (412) 787-7400 | |
| (412) 787-7407 |
| Full Name | Joseph Vanwagner |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 470 Home Dr, Pittsburgh, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043628688 | NPI | - | NPPES |
| DC010915 | Other | PA | STATE LISC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC010915 (Pennsylvania) | Primary |
| Provider Name | Excel Chiropractic And Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417435025 PECOS PAC ID: 0244580652 Enrollment ID: O20180906000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Vanwagner, DC 470 Home Dr, Pittsburgh, PA 15275-1204 Ph: (412) 787-7400 | Joseph Vanwagner, DC 470 Home Dr, Pittsburgh, PA 15275-1204 Ph: (412) 787-7400 |
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