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Contact Information

DP WYATT LLC
708 NORTH ASHLEY RIDGE LOOP BUILDING 400
SHREVEPORT, LA71106
 Phone: 318-698-7000
 Fax: 318-698-7006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for DP WYATT LLC · (Female)

NPI # 1982340667
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2022
Last updated 05/06/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 1305171
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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