Lydolph, Wyatt

Lydolph, Wyatt is an individual health care provider with primary practice located at 1710 Harrison St , Batesville AR 72501-7303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lydolph, Wyatt can be contacted via phone (870) 262-1200.

Contact Information

Primary practice address
1710 Harrison St Batesville AR 72501-7303
Phone: (870) 262-1200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X T2826 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-14622 Arkansas

Profile Details

NPI number 1831505742
LBN Legal business name Lydolph, Wyatt
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2014
Last updated Sep 30th, 2021 - about 3 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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