Doctor Name: | DR. JANICE MARIE WAGNER |
NPI Number: | 1225028103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 2004008729 |
Business Practice Address: | 3847 Old Us Highway 278 E Hokes Bluff, AL - 359037507 |
Business Phone Number: | 2564945053 |
Business Fax Number: | 2564945148 |
Mailing Address: | Po Box 2336, GADSDEN |
State: | AL |
Postal Code: | 359030336 |
Phone Number: | 2564945053 |
Fax Number: | 2564945148 |
NPI Enumeration Date: | 10/24/2005 |
NPI Last Update Date: | 12/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2004008729 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
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. |