Rick Wagelie is a Specialist in Omaha, Nebraska. Rick Wagelie practices all healthcare services and medical treatments related to Specialist. The NPI Number for Rick Wagelie is 1942200936. The last update date is 2015-03-18.
Rick Wagelie's current location address is 5156 S 197th Avenue Cir, Omaha, Nebraska. You can contact this provider via phone number 4022900931 and fax number 4025970382. The mailing address for Rick Wagelie is 5156 S 197th Avenue Cir, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rick Wagelie |
|---|---|
| Address | 5156 S 197th Avenue Cir, Omaha, Nebraska |
| Phone Number | 4022900931 |
| Fax Number | 4025970382 |
| Sole Proprietor | Y |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1942200936 |
|---|---|
| Provider Enumeration Date | 2005-07-30 |
| Last Updated Date | 2015-03-18 |
Provider Mailing Address Detail
| Address | 5156 S 197th Avenue Cir |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681353679 |
| Phone Number | 4022900931 |
| Fax Number | 4025970382 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | # 421 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9203 | NE | BLUE CROSS BLUE SHIELD # | |
| 470807419-00 | NE | -- |
Post Comment/ Review Below
What is the Rick Wagelie's 1942200936?
The Rick Wagelie's NPI (National Provider Identifier) Number is 1942200936. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Rick Wagelie's facilities are geographically located?
The facilities of Rick Wagelie are physically situated at the following location: 5156 S 197Th Avenue Cir, Omaha, NE, 681353679.
What is Rick Wagelie's area of expertise and its corresponding taxonomy classification?
The Rick Wagelie's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When did the Rick Wagelie receive its 1942200936?
The Rick Wagelie was issued its 1942200936 on 2005-07-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Rick Wagelie most recently updated or revised?
The information pertaining to Rick Wagelie, including its address, specialty, and other relevant details, was last updated or revised on 2015-03-18.