Wyman, Stephen Marc

Wyman, Stephen Marc is an sole proprietor health care provider with primary practice located at 17011 Beach Blvd Ste 900 , Huntington Beach CA 92647-5998. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wyman, Stephen Marc can be contacted via phone (714) 842-8680.

Contact Information

Primary practice address
17011 Beach Blvd Ste 900 Huntington Beach CA 92647-5998
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A22529 California

Profile Details

NPI number 1770760076
LBN Legal business name Wyman, Stephen Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2008
Last updated Mar 7th, 2023 - about last year

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 1770760076 NPPES
California Other A22529 STATE LICENSE

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