Wyant, Frank Willis
Wyant, Frank Willis is an individual health care provider with primary practice located at 806 Dr. Mlk Jr. Ave., Ne , Albuquerque NM 87102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wyant, Frank Willis can be contacted via phone (505) 842-6575.Contact Information
Primary practice address
806 Dr. Mlk Jr. Ave., Ne
Albuquerque NM 87102
Phone: (505) 842-6575
Fax: (505) 764-8796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A-864-87 | New Mexico |
Profile Details
| NPI number | 1497740989 |
|---|---|
| LBN Legal business name | Wyant, Frank Willis |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Apr 25th, 2008 - about 18 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 | 1497740989 | NPPES |
| New Mexico | MEDICAID | 40394 | |
| New Mexico | Other | 180014481 | |
| New Mexico | Other | NM004657 | |
| New Mexico | MEDICAID | 279712 |
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