Wyman, James J

Wyman, James J is an individual health care provider with primary practice located at 11212 Sunrise Blvd E Ste 201 , Puyallup WA 98374-8847. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wyman, James J can be contacted via phone (253) 446-0750.

Contact Information

Primary practice address
11212 Sunrise Blvd E Ste 201 Puyallup WA 98374-8847
Phone: (253) 446-0750
Fax: (253) 446-0757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD00037260 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X MD00037260 Washington

Profile Details

NPI number 1477572931
LBN Legal business name Wyman, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477572931 NPPES
Washington MEDICAID 1477572931
Washington Other 3240WY
Washington Other 135267

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