Carlyle, Benjamin Wagner
Carlyle, Benjamin Wagner is an sole proprietor health care provider with primary practice located at 3150 E Heritage Pkwy Ste 1 , Farmington AR 72730-5529. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Carlyle, Benjamin Wagner can be contacted via phone (479) 400-1140.Contact Information
Primary practice address
3150 E Heritage Pkwy Ste 1
Farmington AR 72730-5529
Phone: (479) 400-1140
Fax: (479) 400-1151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-7051 | Arkansas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | E-7051 | Arkansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E-7051 | Arkansas |
Profile Details
| NPI number | 1184882383 |
|---|---|
| LBN Legal business name | Carlyle, Benjamin Wagner |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2008 |
| Last updated | Dec 13th, 2021 - about 3 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 | 1184882383 | NPPES |
| Arkansas | MEDICAID | 190430001 |
Popular Providers
-
Wittman, William J
10 Bramblebush Park , Falmouth MA 02540-2325 -
Mena, Rosa M.
21216 Olean Blvd Ste 8, Port Charlotte FL 33952-6722 -
Halstead, Philip W
602 S Atwood Rd Suite 101, Bel Air MD 21014-4172 -
Morrison, Bennett T
2901 Olney Sandy Spring Rd , Olney MD 20832-1521 -
Villanueva, Roberto Manuel
1240 Jesse Jewell Pkwy Se Suite 500, Gainesville GA 30501-3862 -
Mabry, Robert Timothy
2501 Kentucky Ave , Paducah KY 42003-3813 -
Randell, Andrea Lee
2770 Capital Medical Blvd Ste 200 , Tallahassee FL 32308-8419 -
Karmel, Douglas L.
6005 Park Ave Ste 200, Memphis TN 38119-5212