Hyatt Iii, C Wade
Hyatt Iii, C Wade is an individual health care provider with primary practice located at 5505 Edmondson Pike Suite 101, Nashville TN 37211-5869. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hyatt Iii, C Wade can be contacted via phone (615) 331-8688.Contact Information
Primary practice address
5505 Edmondson Pike Suite 101
Nashville TN 37211-5869
Phone: (615) 331-8688
Fax: (615) 331-2273
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1474T | Tennessee |
Profile Details
NPI number | 1669467452 |
---|---|
LBN Legal business name | Hyatt Iii, C Wade |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 17th, 2005 |
Last updated | Oct 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669467452 | NPPES |
Tennessee | Other | 41004420 | RAILROAD MEDICARE/CHEATHAM CO EYECARE |
Tennessee | Other | 410047740 | RAILROAD MEDICARE/CHEATHAM CO EYECARE |
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