Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY FREDERICK WAGONER, D.C.
ActiveJAY FREDERICK WAGONER, D.C. is a Chiropractor healthcare provider located in STATE COLLEGE, Pennsylvania. NPI 1952709693 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · STATE COLLEGE, PA
Registration Details
- NPI Number
- 1952709693
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2014 (11.674272543484 yrs)
- Last Updated
- Feb 28, 2017
- License
-
DC010942 (PA)
Practice Information
- Address
-
454 ROLLING RIDGE DRSUITE 4STATE COLLEGE, PA, 168017696Browse PA providers · Browse ZIP 16801
- Phone
- 8149544182
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in STATE COLLEGE, PA
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY JUDE SCIULLO | D.C. | 1184626202 |
| DR. JEFFREY M NICASTRO | D.C. | 1417934720 |
| JOHN L SCIPIONE | D.C. | 1235101353 |
| JOHN SCIPIONE | D.C. | 1649242454 |
| DR. ROBERT WILLIAM BECCUE | D.C. | 1871553172 |
| DR. DAVID JOHN MIKULA | D.C. | 1215959374 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.