Carson, Wyatt Dane

Carson, Wyatt Dane is an individual health care provider with primary practice located at 322 Norris Ave #5, Mc Cook NE 69001-3700. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Carson, Wyatt Dane can be contacted via phone (308) 345-5592.

Contact Information

Primary practice address
322 Norris Ave #5 Mc Cook NE 69001-3700
Phone: (308) 345-5592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X P-628 Nebraska

Profile Details

NPI number 1174771505
LBN Legal business name Carson, Wyatt Dane
Credentials PLADC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2008
Last updated Aug 27th, 2008 - about 15 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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