Wagner, Stephen David

Wagner, Stephen David is an individual health care provider with primary practice located at 3214 E Race Ave , Searcy AR 72143-4810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wagner, Stephen David can be contacted via phone (501) 268-6121.

Contact Information

Primary practice address
3214 E Race Ave Searcy AR 72143-4810
Phone: (501) 268-6121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-9654 Arkansas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E-9654 Arkansas

Profile Details

NPI number 1508112061
LBN Legal business name Wagner, Stephen David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2012
Last updated Feb 13th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508112061 NPPES
Arkansas MEDICAID 214517001

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