Blake Joseph Wagner, D.C.

Chiropractor · Poulsbo, WA

Individual Active NPI

NPI number 1134267735

Practice location

21505 Market Pl NW
Suite 102
Poulsbo, WA 98370-6635
Phone
(360) 598-3143
Fax
(360) 598-4172

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NPI record

NPI
1134267735
Entity type
Individual (Type 1)
Enumeration date
February 3, 2007
Last updated
April 25, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CH00003095 WA

Mailing address

21505 Market Place NW
Suite 102
Poulsbo, WA 98370
Phone
(360) 598-3143
Fax
(360) 598-4172

About Dr. Wagner

Blake Joseph Wagner, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 21505 Market Pl NW, Suite 102, Poulsbo, WA 98370-6635. The NPI number 1134267735 was assigned on February 3, 2007 and the record was last updated on April 25, 2011.

Dr. Wagner lists a license in the registry: #CH00003095 (WA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Joseph Wagner, D.C.?

The NPI number is 1134267735.

What is the phone number of Dr. Wagner?

The phone number listed for the practice location is (360) 598-3143.

Where is Dr. Wagner located?

21505 Market Pl NW, Suite 102, Poulsbo, WA 98370-6635.

What is the taxonomy code for Dr. Wagner?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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