Wagner, Jim A

Wagner, Jim A is an sole proprietor health care provider with primary practice located at 2605 Browns Ln , Jonesboro AR 72401. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Wagner, Jim A can be contacted via phone (870) 972-5445.

Contact Information

Primary practice address
2605 Browns Ln Jonesboro AR 72401
Phone: (870) 972-5445
Fax: (870) 972-0852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2138 Arkansas

Profile Details

NPI number 1508013210
LBN Legal business name Wagner, Jim A
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2008
Last updated Aug 25th, 2008 - about 17 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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