Yakish, Jack E

Yakish, Jack E is an individual health care provider with primary practice located at 3822 Colonial Ave , Erie PA 16506-3826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yakish, Jack E can be contacted via phone (814) 833-5653.

Contact Information

Primary practice address
3822 Colonial Ave Erie PA 16506-3826
Phone: (814) 833-5653
Fax: (814) 838-1153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD027411E Pennsylvania

Profile Details

NPI number 1417947730
LBN Legal business name Yakish, Jack E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Oct 8th, 2020 - about 6 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 1417947730 NPPES
Pennsylvania Other 000078754 BSU
Pennsylvania Other P00280017 BSU

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