Wagner Integrative Therapes | |
875 N Easton Rd Ste 5b, Doylestown, PA 18902-1026 | |
(215) 230-8100 | |
(215) 230-8892 |
Full Name | Wagner Integrative Therapes |
---|---|
Type | Facility |
Speciality | Chiropractor - Sports Physician |
Location | 875 N Easton Rd Ste 5b, Doylestown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982866711 | NPI | - | NPPES |
000858155 | Other | PA | HIGHMARK BLUE SHIELD |
1053559567 | Other | PA | INDIVIDUAL IDENTIFIER |
0965277000 | Other | PA | INDEPENDENCE BS |
1881635159 | Other | PA | INDIVIDUAL NPI |
2059271 | Other | PA | HIGHMARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | DC006590L (Pennsylvania) | Primary |
Provider Name | John A Wagner |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1881635159 PECOS PAC ID: 7315942141 Enrollment ID: I20060928000458 |
Mailing Address | Practice Location Address |
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Wagner Integrative Therapes 875 N Easton Rd Ste 5b, Doylestown, PA 18902-1026 Ph: (215) 230-8100 | Wagner Integrative Therapes 875 N Easton Rd Ste 5b, Doylestown, PA 18902-1026 Ph: (215) 230-8100 |
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