| Doctor Name: | DR. PHILIP JON WAGNER |
| NPI Number: | 1043296171 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DC |
| License Number: | 1633 |
| Business Practice Address: | 1 Pinckney Blvd Naval Hospital Beaufort Attn Professional Affairs Beaufort, SC - 299026122 |
| Business Phone Number: | 8432285577 |
| Business Fax Number: | 8432285196 |
| Mailing Address: | 1 Pinckney Blvd, Naval Hospital Beaufort Attn Professional Affairs BEAUFORT |
| State: | SC |
| Postal Code: | 299026122 |
| Phone Number: | 8432285577 |
| Fax Number: | 8432285196 |
| NPI Enumeration Date: | 12/20/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111NI0900X |
| License Number: | 1633 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | Internist |
| Taxonomy Definition: | The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |