Wyatt, Sally Jo

Wyatt, Sally Jo is an sole proprietor health care provider with primary practice located at 1963 Bethel Rd Se , Port Orchard WA 98366-3108. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wyatt, Sally Jo can be contacted via phone (360) 876-3393.

Contact Information

Primary practice address
1963 Bethel Rd Se Port Orchard WA 98366-3108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA60083727 Washington

Profile Details

NPI number 1174767412
LBN Legal business name Wyatt, Sally Jo
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2009
Last updated Feb 10th, 2010 - about 16 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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