Wyatt, Mary Alexander

Wyatt, Mary Alexander is an sole proprietor health care provider with primary practice located at 600 S Mckinley St , Little Rock AR 72205-5202. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Wyatt, Mary Alexander can be contacted via phone (501) 804-5102.

Contact Information

Primary practice address
600 S Mckinley St Little Rock AR 72205-5202
Phone: (501) 804-5102
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 010702100 Arkansas

Profile Details

NPI number 1114294949
LBN Legal business name Wyatt, Mary Alexander
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2011
Last updated Nov 22nd, 2011 - about 13 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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