Wyly, Michael
Wyly, Michael is an sole proprietor health care provider with primary practice located at 5077 S Yale Ave , Tulsa OK 74135-7010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wyly, Michael can be contacted via phone (918) 622-9001.Contact Information
Primary practice address
5077 S Yale Ave
Tulsa OK 74135-7010
Phone: (918) 622-9001
Fax: (918) 622-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1828 | Oklahoma |
Profile Details
| NPI number | 1548251788 |
|---|---|
| LBN Legal business name | Wyly, Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Dec 3rd, 2012 - about 13 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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