Yacovella, Thomas J
Yacovella, Thomas J is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Yacovella, Thomas J can be contacted via phone (123) 123-1234.Contact Information
Primary practice address
640 Jackson St
Saint Paul MN 55101-2502
Phone: (123) 123-1234
Fax: (651) 254-3662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38588 | Minnesota |
Profile Details
| NPI number | 1700858081 |
|---|---|
| LBN Legal business name | Yacovella, Thomas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Aug 14th, 2008 - about 17 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 | 1700858081 | NPPES |
| Minnesota | MEDICAID | 280218000 |
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