Wylie, Robert J

Wylie, Robert J is an individual health care provider with primary practice located at 200 West Hospital Drive , Whiteriver AZ 85941-0860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wylie, Robert J can be contacted via phone (928) 338-4911.

Contact Information

Primary practice address
200 West Hospital Drive Whiteriver AZ 85941-0860
Fax: (928) 338-5508
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 18644A Arizona

Profile Details

NPI number 1568436871
LBN Legal business name Wylie, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jan 15th, 2021 - about 5 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 1568436871 NPPES
Other 241333500 OWCP
MEDICAID 1629236716 OWCP
MEDICAID 286254 OWCP
MEDICAID 1780614008 OWCP
Other AZ0342850 OWCP
MEDICAID 1871523191 OWCP
MEDICAID 1295993376 OWCP

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