Miles, John Wyatt
Miles, John Wyatt is an sole proprietor health care provider with primary practice located at 1540 Appling Care Ln Ste 105 , Cordova TN 38016-4947. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Miles, John Wyatt can be contacted via phone (901) 444-3950.Contact Information
Primary practice address
1540 Appling Care Ln Ste 105
Cordova TN 38016-4947
Phone: (901) 444-3950
Fax: (949) 862-5121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 3237 | West Virginia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | DO2168 | Tennessee |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 3237 | West Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2168 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2168 | Tennessee |
Profile Details
| NPI number | 1528263647 |
|---|---|
| LBN Legal business name | Miles, John Wyatt |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2007 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1528263647 | NPPES |
| Tennessee | MEDICAID | 1520769 |
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