Wagelie, Rick
Wagelie, Rick is an sole proprietor health care provider with primary practice located at 5156 S 197Th Avenue Cir , Omaha NE 68135-3679. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wagelie, Rick can be contacted via phone (402) 290-0931.Contact Information
Primary practice address
5156 S 197Th Avenue Cir
Omaha NE 68135-3679
Phone: (402) 290-0931
Fax: (402) 597-0382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | # 421 | Nebraska |
Profile Details
| NPI number | 1942200936 |
|---|---|
| LBN Legal business name | Wagelie, Rick |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2005 |
| Last updated | Mar 18th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942200936 | NPPES |
| Nebraska | Other | 09203 | BLUE CROSS BLUE SHIELD # |
| Nebraska | MEDICAID | 470807419-00 | BLUE CROSS BLUE SHIELD # |
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