Dr. Joseph Burrell Wagner
Chiropractor Orthopedic Specialist
542 N Ridgewood Ave
Daytona Beach
, Florida 32114-2170
Dr. Joseph Burrell Wagner
Chiropractor Orthopedic Specialist
542 N Ridgewood Ave
Daytona Beach
, Florida 32114-2170
(386) 253-0365
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Dr. Joseph Burrell Wagner
- 542 N Ridgewood Ave
- Daytona Beach, FL
- Zip : 32114-2170
- Fax : (386) 253-0365
- Phone : (386) 258-7494
Second Address
- Dr. Joseph Burrell Wagner
- 542 N Ridgewood Ave
- Daytona Beach, FL
- Zip : 32114-2170
- Fax : (386) 253-0365
- Phone : (386) 258-7494
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | CH3009 | FL |
National Provider Identifier
| NPI | 1801853734 |
|---|---|
| Provider Name | Dr. Joseph Burrell Wagner |
| First Address | Daytona Beach, FL 32114-2170 |
| Second Address | Daytona Beach, FL 32114-2170 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2006 |
| Last Update Date | 15/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 88276 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.