Wyatt, Julie P
Wyatt, Julie P is an sole proprietor health care provider with primary practice located at 3000 Old Canton Rd Ste 430 , Jackson MS 39216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Wyatt, Julie P can be contacted via phone (601) 982-5441.Contact Information
Primary practice address
3000 Old Canton Rd Ste 430
Jackson MS 39216
Phone: (601) 982-5441
Fax: (601) 982-5442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 20645 | Mississippi |
Profile Details
| NPI number | 1053532226 |
|---|---|
| LBN Legal business name | Wyatt, Julie P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Aug 30th, 2018 - about 7 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 | 1053532226 | NPPES |
| Other | P00781089 | RR MEDICARE | |
| MEDICAID | 08655862 | RR MEDICARE | |
| Other | P01193355 | RR MEDICARE |
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