Wyatt, David A
Wyatt, David A is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw Ste 201 , Roanoke VA 24014-2465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Wyatt, David A can be contacted via phone (540) 853-0100.Contact Information
Primary practice address
2001 Crystal Spring Ave Sw Ste 201
Roanoke VA 24014-2465
Phone: (540) 853-0100
Fax: (540) 342-9308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME98555 | Florida |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 29821 | Tennessee |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 0101037626 | Virginia |
Profile Details
| NPI number | 1346311677 |
|---|---|
| LBN Legal business name | Wyatt, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Aug 8th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346311677 | NPPES |
| Tennessee | Other | DB4643 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 3820393 | RAILROAD MEDICARE |
| Tennessee | Other | P00107052 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 278324000 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 3723206 | RAILROAD MEDICARE |
| Tennessee | Other | 4070506 | RAILROAD MEDICARE |
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