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John S Wagner, DC
Chiropractor in Lafayette, Indiana
NPI 1346221041

John S Wagner is a Chiropractor based in Lafayette, IN. John S Wagner practices in Lafayette, IN and has the professional credentials of DC. The NPI Number for John S Wagner is 1346221041 and holds a License No. 08000532A (Indiana).

The current practice location address for John S Wagner is 3778 Union St, Lafayette, IN and can be reached out via phone at 765-448-1674.

Location: 3778 Union St, Lafayette, IN, 47905-4453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346221041
Provider Name
John S Wagner
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3778 Union St, Lafayette, IN, 47905-4453
Phone Number
765-448-1674
Fax Number
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000197485 01 IN BLUE CROSS/BLUE SHIELD
100262580 05 IN
institution
Provider Business Practice Location Address Details
Address
3778 Union St
City
Lafayette
State
Indiana
Zip
47905-4453
Phone Number
765-448-1674
Fax Number
person
Provider Business Mailing Address Details
Address
3778 Union St
City
Lafayette
State
Indiana
Zip
47905-4453
Phone Number
765-448-1674
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08000532A (Indiana)
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.
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