Cherry, Wyatt Benjamin
Cherry, Wyatt Benjamin is an individual health care provider with primary practice located at 221 3Rd St W , Randolph Afb TX 78150-4800. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cherry, Wyatt Benjamin can be contacted via phone (210) 916-9900.Contact Information
Primary practice address
221 3Rd St W
Randolph Afb TX 78150-4800
Phone: (210) 916-9900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA14117 | Texas |
Profile Details
NPI number | 1659631182 |
---|---|
LBN Legal business name | Cherry, Wyatt Benjamin |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2012 |
Last updated | Mar 23rd, 2023 - about last year |
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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