Andrus, Gary Wyatt

Andrus, Gary Wyatt is an sole proprietor health care provider with primary practice located at 1165 S Dora St Ste B2 , Ukiah CA 95482-6353. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Andrus, Gary Wyatt can be contacted via phone (707) 468-0400.

Contact Information

Primary practice address
1165 S Dora St Ste B2 Ukiah CA 95482-6353
Phone: (707) 468-0400
Fax: (707) 468-8240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU902 California
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X HA2025 California

Profile Details

NPI number 1679680417
LBN Legal business name Andrus, Gary Wyatt
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1679680417 NPPES
California Other CGP119690 CALIFORNIA CHILDREN SRVCS
California MEDICAID HA0020250 CALIFORNIA CHILDREN SRVCS

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