Wyatt, John M

Wyatt, John M is an individual health care provider with primary practice located at 2170 Palm Beach Lakes Blvd , West Palm Beach FL 33409-6602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Wyatt, John M can be contacted via phone (561) 683-3333.

Contact Information

Primary practice address
2170 Palm Beach Lakes Blvd West Palm Beach FL 33409-6602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME117616 Florida

Profile Details

NPI number 1659313724
LBN Legal business name Wyatt, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659313724 NPPES
Oregon MEDICAID 245771

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