Wagner, Matthew
Wagner, Matthew is an sole proprietor health care provider with primary practice located at 1701 Club Manor Dr Ste 2B , Maumelle AR 72113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wagner, Matthew can be contacted via phone (501) 812-7216.Contact Information
Primary practice address
1701 Club Manor Dr Ste 2B
Maumelle AR 72113
Phone: (501) 812-7216
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-11361 | Arkansas |
Profile Details
| NPI number | 1790166445 |
|---|---|
| LBN Legal business name | Wagner, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2015 |
| Last updated | Sep 4th, 2018 - about 8 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.
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