National Provider Identifier Database

JACK L WAPNER, MD – NPI #1164688677
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

JACK L WAPNER, MD
11100 LIBERTY RD
SUITE F
RANDALLSTOWN, MD21133-1026
Phone: 410-655-2740
Fax: 410-655-4740
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for JACK L WAPNER

NPI Number 1164688677
Credentials MD
Entity Individual
Enumeration date 08/04/2008
Last updated 08/04/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • MD License #: D0026048
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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