Dr. Scott Brian Wagner
Chiropractic Sports Physician
2109 India Rd
Charlottesville
, Virginia 22901-2886
Dr. Scott Brian Wagner
Chiropractic Sports Physician
2109 India Rd
Charlottesville
, Virginia 22901-2886
(434) 978-3633
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Scott Brian Wagner
- 2109 India Rd
- Charlottesville, VA
- Zip : 22901-2886
- Fax : (434) 978-3633
- Phone : (434) 978-4888
Second Address
- Dr. Scott Brian Wagner
- 2109 India Rd
- Charlottesville, VA
- Zip : 22901-2886
- Fax : (434) 978-3633
- Phone : (434) 978-4888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 0104555923 | VA |
National Provider Identifier
| NPI | 1053340588 |
|---|---|
| Provider Name | Dr. Scott Brian Wagner |
| First Address | Charlottesville, VA 22901-2886 |
| Second Address | Charlottesville, VA 22901-2886 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 04/06/2019 |
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.