Wyatt, Patricia Brook

Wyatt, Patricia Brook is an individual health care provider with primary practice located at 301 Scott Ave , Morgantown WV 26508-8804. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Wyatt, Patricia Brook can be contacted via phone (304) 296-1731.

Contact Information

Primary practice address
301 Scott Ave Morgantown WV 26508-8804
Fax: (304) 225-2288
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 21-987 West Virginia

Profile Details

NPI number 1073246088
LBN Legal business name Wyatt, Patricia Brook
Credentials PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2022
Last updated Jul 7th, 2022 - about 2 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 1073246088 NPPES
West Virginia MEDICAID F323513

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