Wyant, Glen R.
Wyant, Glen R. is an individual health care provider with primary practice located at 920 Stanton L Young Blvd Ste 1140 , Oklahoma City OK 73104-5036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Wyant, Glen R. can be contacted via phone (405) 271-4351.Contact Information
Primary practice address
920 Stanton L Young Blvd Ste 1140
Oklahoma City OK 73104-5036
Phone: (405) 271-4351
Fax: (405) 271-8695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | H8898 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | H8898 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 27000 | Oklahoma |
Profile Details
| NPI number | 1821139510 |
|---|---|
| LBN Legal business name | Wyant, Glen R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jun 1st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821139510 | NPPES |
| Texas | MEDICAID | 138661714 |
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