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Jay Frederick Wagoner, DC
Chiropractor in State College, Pennsylvania
NPI 1952709693

Jay Frederick Wagoner is a Chiropractor based in State College, PA. Jay Frederick Wagoner practices in State College, PA and has the professional credentials of DC. The NPI Number for Jay Frederick Wagoner is 1952709693 and holds a License No. DC010942 (Pennsylvania).

The current practice location address for Jay Frederick Wagoner is 454 Rolling Ridge Dr, State College, PA and can be reached out via phone at 814-954-4182.

Location: 454 Rolling Ridge Dr, State College, PA, 16801-7696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952709693
Provider Name
Jay Frederick Wagoner
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
454 Rolling Ridge Dr, State College, PA, 16801-7696
Phone Number
814-954-4182
Fax Number
Provider Enumeration Date
12/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
454 Rolling Ridge Dr
City
State College
State
Pennsylvania
Zip
16801-7696
Phone Number
814-954-4182
Fax Number
person
Provider Business Mailing Address Details
Address
454 Rolling Ridge Dr
City
State College
State
Pennsylvania
Zip
16801-7696
Phone Number
814-954-4182
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC010942 (Pennsylvania)
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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