Yamada, Michelle M
Yamada, Michelle M is an individual health care provider with primary practice located at 5201 Frederick Street , Savannah GA 31405-4501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Yamada, Michelle M can be contacted via phone (912) 351-3030.Contact Information
Primary practice address
5201 Frederick Street
Savannah GA 31405-4501
Phone: (912) 351-3030
Fax: (912) 351-3039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 4303 | Georgia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 004303 | Georgia |
Profile Details
| NPI number | 1487735403 |
|---|---|
| LBN Legal business name | Yamada, Michelle M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Apr 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487735403 | NPPES |
| Georgia | Other | 344049 | MEDICAID WELLCARE HMO # |
| Georgia | MEDICAID | 275998532A | MEDICAID WELLCARE HMO # |
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