Wyatt, Rebecca

Wyatt, Rebecca is an individual health care provider with primary practice located at 1200 E Michigan Avenue Ste 520, Lansing MI 48912-1837. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Wyatt, Rebecca can be contacted via phone (517) 364-5260.

Contact Information

Primary practice address
1200 E Michigan Avenue Ste 520 Lansing MI 48912-1837
Phone: (517) 364-5260
Fax: (517) 364-5251
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5101017592 Michigan

Profile Details

NPI number 1053573048
LBN Legal business name Wyatt, Rebecca
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Jun 16th, 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 1053573048 NPPES
Michigan MEDICAID 1053573048

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