Dp Wyatt Llc

LBN: Dp Wyatt Llc
Dp Wyatt Llc is an health care organization with primary practice located at 708 North Ashley Ridge Loop Building 400 , Shreveport LA 71106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Dp Wyatt Llc can be contacted via phone (318) 698-7000, or through Auer, Powell B via phone (318) 990-9099.

Contact Information

Primary practice address
708 North Ashley Ridge Loop Building 400 Shreveport LA 71106
Phone: (318) 698-7000
Fax: (318) 698-7006
Website:
Map and Directions
Authorized official contact:
Name: Auer, Powell B Doctor of Medicine (MD)
Phone: (318) 990-9099

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1982340667
LBN Legal business name Dp Wyatt Llc
DBA Doing business as
Authorized official Auer, Powell B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2022
Last updated May 6th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982340667 NPPES
Louisiana MEDICAID 1305171

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