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Contact Information

JAMES B WAGNER, PT
1525 COUNTRY CLUB RD
SHERWOOD, AR72120-5076
 Phone: 501-978-3135
 Fax: 501-978-3138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JAMES B WAGNER · (Male)

NPI Number 1306804448
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/01/2006
Last updated 03/11/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AR License # PT2565
  • AR Other 5W797C153 AR BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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