Wyatt, Jerry
Wyatt, Jerry is an sole proprietor health care provider with primary practice located at 1925 W Elm St , Durant OK 74701-3429. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wyatt, Jerry can be contacted via phone (580) 924-6363.Contact Information
Primary practice address
1925 W Elm St
Durant OK 74701-3429
Phone: (580) 924-6363
Fax: (580) 924-0379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3456 | Oklahoma |
Profile Details
| NPI number | 1508999558 |
|---|---|
| LBN Legal business name | Wyatt, Jerry |
| Credentials | MBS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Aug 21st, 2008 - about 16 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.
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