Wyant, Andrew R
Wyant, Andrew R is an sole proprietor health care provider with primary practice located at 2305 S Highway 65 Bldg A , Marshall MO 65340-3702. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wyant, Andrew R can be contacted via phone (660) 886-7800.Contact Information
Primary practice address
2305 S Highway 65 Bldg A
Marshall MO 65340-3702
Phone: (660) 886-7800
Fax: (660) 831-3306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01045516 | Indiana |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01045516A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2018015413 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2018015413 | Missouri |
Profile Details
| NPI number | 1821087172 |
|---|---|
| LBN Legal business name | Wyant, Andrew R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Mar 5th, 2024 - about 9 months 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 | 1821087172 | NPPES |
| Indiana | MEDICAID | 200105220 | |
| Indiana | MEDICAID | 200064758 |
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