Yates, Jennifer K
Yates, Jennifer K is an individual health care provider with primary practice located at 33 Kendall St Department Of Urology, Worcester MA 01605-2726. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Yates, Jennifer K can be contacted via phone (508) 856-5821.Contact Information
Primary practice address
33 Kendall St Department Of Urology
Worcester MA 01605-2726
Phone: (508) 856-5821
Fax: (508) 856-3137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | LP00696 | Rhode Island |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 254176 | Massachusetts |
Profile Details
| NPI number | 1396964037 |
|---|---|
| LBN Legal business name | Yates, Jennifer K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Oct 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396964037 | NPPES |
| Massachusetts | MEDICAID | 110095125A |
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