Wyatt, Chene
Wyatt, Chene is an individual health care provider with primary practice located at 5050 Research Ct Suite 800, Suwanee GA 30024-6606. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wyatt, Chene can be contacted via phone (770) 205-5551.Contact Information
Primary practice address
5050 Research Ct Suite 800
Suwanee GA 30024-6606
Phone: (770) 205-5551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT003813 | Georgia |
Profile Details
| NPI number | 1457409039 |
|---|---|
| LBN Legal business name | Wyatt, Chene |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Feb 14th, 2017 - about 9 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 | 1457409039 | NPPES |
| Georgia | MEDICAID | 330870519A | |
| Georgia | MEDICAID | 330870519B |
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