Wagner, Charles Wesley
Wagner, Charles Wesley is an sole proprietor health care provider with primary practice located at 12609 Saint Charles Blvd , Little Rock AR 72211-2227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Wagner, Charles Wesley can be contacted via phone (501) 680-0738.Contact Information
Primary practice address
12609 Saint Charles Blvd
Little Rock AR 72211-2227
Phone: (501) 680-0738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | N-7036 | Arkansas |
Profile Details
| NPI number | 1003532268 |
|---|---|
| LBN Legal business name | Wagner, Charles Wesley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2022 |
| Last updated | Oct 18th, 2022 - 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 | 1003532268 | NPPES |
| Arkansas | Other | N-7036 | GENERAL PRACTICE |
| Arkansas | MEDICAID | N-7036 | GENERAL PRACTICE |
Popular Providers
-
Martinez-Frontanilla, Luis A
3001 W Dr Martin Luther King Jr Blvd , Tampa FL 33607-6307 -
Winer, Stephen Frank
229 S 4Th St , Lebanon PA 17042-6158 -
Burford, Jeffrey
1 Childrens Way # 653 , Little Rock AR 72202-3500 -
Dobos, Simona
4110 Outpatient Circle , Little Rock AR 72205 -
Smith, Mark B
1301 Barbara Jordan Blvd Suite 400, San Antonio TX 78723-3078 -
Harvey, Benson
25 Monument Rd Suite 120, York PA 17403-5049 -
Vandewalle, Robert Julian
1 Childrens Way # 210 , Little Rock AR 72202-3500 -
Santoscoy, Robert
1600 Medical Center Dr Ste 212, El Paso TX 79902-5008