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
Fax: (502) 394-3607
Website:

Health care specialties

SpecialtyCodeLicense #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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