Evan Jonathon Wagoner, DC
Chiropractor · Wake Forest, NC
Practice location
1408 Woodland Hills TrlApt 204
Wake Forest, NC 27587-1778
- Phone
- (260) 573-1249
NPI record
- NPI
- 1710507488
- Entity type
- Individual (Type 1)
- Enumeration date
- April 22, 2020
- Last updated
- October 26, 2021
- Certified
- October 26, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
5176 | NC |
About Dr. Wagoner
Evan Jonathon Wagoner, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1408 Woodland Hills Trl, Apt 204, Wake Forest, NC 27587-1778. The NPI number 1710507488 was assigned on April 22, 2020 and the record was last updated on October 26, 2021.
Dr. Wagoner lists a license in the registry: #5176 (NC) 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 Evan Jonathon Wagoner, DC?
The NPI number is 1710507488.
What is the phone number of Dr. Wagoner?
The phone number listed for the practice location is (260) 573-1249.
Where is Dr. Wagoner located?
1408 Woodland Hills Trl, Apt 204, Wake Forest, NC 27587-1778.
What is the taxonomy code for Dr. Wagoner?
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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