Wyatt, Russell

Wyatt, Russell is an individual health care provider with primary practice located at 206 Spruce St , Morgantown WV 26505-7539. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Wyatt, Russell can be contacted via phone (304) 413-4300.

Contact Information

Primary practice address
206 Spruce St Morgantown WV 26505-7539
Phone: (304) 413-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1568198893
LBN Legal business name Wyatt, Russell
Credentials PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2022
Last updated Jul 28th, 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.

Request for update

Popular Providers