Wyatt, Robert J

Wyatt, Robert J is an sole proprietor health care provider with primary practice located at 1910 Nonconnah Blvd Suite 120, Memphis TN 38132-2113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Wyatt, Robert J can be contacted via phone (901) 448-2300.

Contact Information

Primary practice address
1910 Nonconnah Blvd Suite 120 Memphis TN 38132-2113
Phone: (901) 448-2300
Fax: (901) 448-6657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 15403 Tennessee

Profile Details

NPI number 1912965070
LBN Legal business name Wyatt, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Mar 14th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912965070 NPPES
Tennessee MEDICAID 3010536

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