Active NPIIndividual provider

Dr. John B Van Wagner, DC

Chiropractor in Great Barrington, Massachusetts

NPI Number1962586305
Practice location
80 Maple Ave, Ste. 6, Great Barrington, MA 01230-1948
Fax
413-644-9300
Last updated
March 13, 2020

John Ben Van Wagner is a Chiropractor based in Great Barrington, MA. John Ben Van Wagner practices in Great Barrington, MA and has the professional credentials of DC. The NPI Number for John Ben Van Wagner is 1962586305 and holds a License No. 2279 (MA). The current practice location address for John Ben Van Wagner is 80 Maple Ave, Ste. 6, Great Barrington, MA 01230-1948 and can be reached out via phone at 413-644-8989 and via fax at 413-644-9300.

Provider Profile Details

NPI Number
1962586305
Provider Name
John Ben Van Wagner
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
80 Maple Ave, Ste. 6, Great Barrington, MA 01230-1948
Phone Number
413-644-8989
Fax Number
413-644-9300
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
October 24, 2006
Last Update Date
March 13, 2020
Certification Date
March 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Maple Ave
Ste. 6
Great Barrington, MA 01230-1948
Zip
01230-1948
Phone Number
413-644-8989
Fax Number
413-644-9300
Great Barrington, MA 01230Get directions →

Provider Business Mailing Address Details

Address
531 Main St
Great Barrington, MA 01230-2001
City
Great Barrington
State
MA
Zip
01230-2001
Phone Number
413-644-8989
Fax Number
413-644-9300

License Information

License Number
2279
License State
MA
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John B Van Wagner, DC?

The NPI number of Dr. John B Van Wagner, DC is 1962586305. It was assigned on October 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John B Van Wagner, DC?

Dr. John B Van Wagner, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in MA under license number 2279.

Where does Dr. John B Van Wagner, DC practice?

The practice location is 80 Maple Ave, Ste. 6, Great Barrington, MA 01230-1948. The office can be reached at 413-644-8989 (phone) or 413-644-9300 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962586305 directly on the NPPES registry website.

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