Wyatt, Thomas Harris
Wyatt, Thomas Harris is an individual health care provider with primary practice located at 5571 Highway 43 North , Satsuma AL 36572-0108. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wyatt, Thomas Harris can be contacted via phone (251) 675-2029.Contact Information
Primary practice address
5571 Highway 43 North
Satsuma AL 36572-0108
Phone: (251) 675-2029
Fax: (251) 675-3734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 00005880 | Alabama |
Profile Details
| NPI number | 1558380410 |
|---|---|
| LBN Legal business name | Wyatt, Thomas Harris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Feb 20th, 2012 - about 14 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 | 1558380410 | NPPES |
| Alabama | Other | 511-16920 | BLUE CROSS BLUE SHIELD OF ALABAMA |
| Alabama | MEDICAID | 133632 | BLUE CROSS BLUE SHIELD OF ALABAMA |
| Alabama | Other | 051523637 | BLUE CROSS BLUE SHIELD OF ALABAMA |
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