Yates, Jonathan David
Yates, Jonathan David is an individual health care provider with primary practice located at 2111 College Ave , Bluefield VA 24605-2002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yates, Jonathan David can be contacted via phone (276) 322-4661.Contact Information
Primary practice address
2111 College Ave
Bluefield VA 24605-2002
Phone: (276) 322-4661
Fax: (276) 322-4663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS-010723L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2379 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0102202903 | Virginia |
Profile Details
| NPI number | 1073557047 |
|---|---|
| LBN Legal business name | Yates, Jonathan David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Apr 6th, 2015 - about 11 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 | 1073557047 | NPPES |
| West Virginia | MEDICAID | 3810014603 | |
| West Virginia | MEDICAID | 001798368-003 |
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