Wyman, Stephen Marc
Wyman, Stephen Marc is an sole proprietor health care provider with primary practice located at 17011 Beach Blvd Ste 900 , Huntington Beach CA 92647-5998. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wyman, Stephen Marc can be contacted via phone (714) 842-8680.Contact Information
Primary practice address
17011 Beach Blvd Ste 900
Huntington Beach CA 92647-5998
Phone: (714) 842-8680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A22529 | California |
Profile Details
| NPI number | 1770760076 |
|---|---|
| LBN Legal business name | Wyman, Stephen Marc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2008 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1770760076 | NPPES |
| California | Other | A22529 | STATE LICENSE |
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