Individual
NICHOLAS MARK WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
600 S MCKINLEY ST, SUITE 210, LITTLE ROCK, AR 72205-5202
(501) 225-0181
(501) 225-0384
Mailing address
600 S MCKINLEY ST, SUITE 210, LITTLE ROCK, AR 72205-5202
(501) 225-0181
(501) 225-0384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2846
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y867
ABCBS
AR
Enumeration date
06/09/2006
Last updated
06/17/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us