JOHN S WAGNER


Address: 3778 Union St, Lafayette, IN 47905-4453
Phone: 7654481674

JOHN S WAGNER (NPI# 1346221041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346221041
Entity Type Individual
Full Name JOHN S WAGNER
Credential D.C.
Practice Address 3778 Union St
Lafayette
IN 47905-4453
Practice Telephone 7654481674
Mailing Telephone 7654481674
Enumeration Date 2005-11-09
Last Update Date 2015-01-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 08000532A IN Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 100262580 05
IN BLUE CROSS/BLUE SHIELD 000000197485 01

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Office Location

Street Address 3778 UNION ST
City LAFAYETTE
State IN
Zip Code 47905-4453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326445602 Julia Marie Wagner Chiropractor 3778 Union St, Lafayette, IN 47905-4453 2014-12-02
1407264039 David Alan Bowman Chiropractor 3778 Union St, Lafayette, IN 47905-4453 2014-07-28
1558618090 Joshua Mathias Bell Chiropractor 3778 Union St, Lafayette, IN 47905-4453 2012-08-14
1942479423 Wagner Chiropractic Center Chiropractor 3778 Union St, Lafayette, IN 47905-4453 2008-02-28
1295886687 Kevin Warren Butterfield Chiropractor 3778 Union St, Lafayette, IN 47905-4453 2007-01-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538719893 Elements Counseling LLC Social Worker 115 N. Farabee Drive, Lafayette, IN 47905 2019-09-18
1134596869 Indiana Dental Sleep Therapy LLC Dentist 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 2015-08-28
1255750899 Emily S Miller Physical Therapist 1701 Creasy Ln, Lafayette, IN 47905 2014-04-10
1073876215 Nathan Webster Dentist 1530 Kossuth St., Lafayette, IN 47905 2012-06-22
1578848370 Mark Jin Kim Pharmacist 1801 South St., Lafayette, IN 47905 2011-10-13
1700177185 Shannon Tawn Harris Speech-Language Pathologist 8900 Cobbler Lane, Lafayette, IN 47905 2011-04-20
1508164484 David Thomas Beine Specialist/Technologist 1321 Unity Pl Ste A, Lafayette, IN 47905 2011-03-02
1447569538 Deidre Dudley Nurse Practitioner 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 2010-10-07
1548493067 Unity Healthcare, LLC Podiatrist 750 Park East Blvd, Unit 4, Lafayette, IN 47905 2009-09-01
1073762969 Lynette Marie Alexander Nurse Practitioner 5500 St Rd. 38 East, Lafayette, IN 47905 2008-09-16
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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1437620747 Alexander James Schepler Chiropractor 297 N Us Highway 287 Ste 105, Lafayette, CO 80026-8953 2018-12-13
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1922534734 Angelique Miller Chiropractor 108 Republic Ave, Suite B, Lafayette, LA 70508-6843 2017-05-11
1356880116 Jereme' Chais Menard Sr. Chiropractor 130 Rue Beauregard Ste A, Lafayette, LA 70508-3130 2017-02-13
1659828143 Nancy Lam Chiropractor 2 Walter Scholer Dr Ste B, Lafayette, IN 47909-6382 2016-09-01
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1447617683 Chelsey Lynn Lueken Chiropractor 2606 Veterans Memorial Pkwy S Ste 1, Lafayette, IN 47909-9192 2016-01-19
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Competitor

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City LAFAYETTE
Zip Code 47905

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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