Blue, Wyatt

Blue, Wyatt is an sole proprietor health care provider with primary practice located at 1732 Mackinnon Ave , Cardiff By The Sea CA 92007-1605. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Blue, Wyatt can be contacted via phone (603) 812-6913.

Contact Information

Primary practice address
1732 Mackinnon Ave Cardiff By The Sea CA 92007-1605
Phone: (603) 812-6913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 0506246 Nevada

Profile Details

NPI number 1346583754
LBN Legal business name Blue, Wyatt
Credentials MS, LAT, ATC, CSCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2013
Last updated Jan 16th, 2014 - about 10 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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