Wyatt, Donna Lynn
Wyatt, Donna Lynn is an individual health care provider with primary practice located at 1701 Jimmie Davis Hwy Ste 200, Bossier City LA 71112-4515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wyatt, Donna Lynn can be contacted via phone (318) 681-1660.Contact Information
Primary practice address
1701 Jimmie Davis Hwy Ste 200
Bossier City LA 71112-4515
Phone: (318) 681-1660
Fax: (318) 681-1661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N3885 | Texas |
Profile Details
| NPI number | 1962606558 |
|---|---|
| LBN Legal business name | Wyatt, Donna Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Sep 17th, 2016 - about 8 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 | 1962606558 | NPPES |
| Other | 3853003324 | MYUTMB 3853003324-COMMERCIAL NUMBER | |
| MEDICAID | 2350471 | MYUTMB 3853003324-COMMERCIAL NUMBER |
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