Yantis, Elyssa Rubertino
Yantis, Elyssa Rubertino is an individual health care provider with primary practice located at 4420 Dixie Hwy Ste 126 , Louisville KY 40216-2994. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Yantis, Elyssa Rubertino can be contacted via phone (502) 810-3780.Contact Information
Primary practice address
4420 Dixie Hwy Ste 126
Louisville KY 40216-2994
Phone: (502) 810-3780
Fax: (502) 394-3607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Q4347 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 04134 | Kentucky |
Profile Details
| NPI number | 1114286184 |
|---|---|
| LBN Legal business name | Yantis, Elyssa Rubertino |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2012 |
| Last updated | Oct 11th, 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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