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
Fax: (251) 675-3734
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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