Hyatt, John David
Hyatt, John David is an individual health care provider with primary practice located at 246 Catalina Dr , Ashland OR 97520-1624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Hyatt, John David can be contacted via phone (541) 488-3192.Contact Information
Primary practice address
246 Catalina Dr
Ashland OR 97520-1624
Phone: (541) 488-3192
Fax: (541) 488-0646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 45882 | Tennessee |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 34419 | South Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD176865 | Oregon |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | MD176865 | Oregon |
Profile Details
| NPI number | 1184696346 |
|---|---|
| LBN Legal business name | Hyatt, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jun 20th, 2017 - about 7 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 | 1184696346 | NPPES |
| South Carolina | Other | P01236562 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | 500707611 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | 344194 | RAILROAD MEDICARE |
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