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
Fax: (276) 322-4663
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073557047 NPPES
West Virginia MEDICAID 3810014603
West Virginia MEDICAID 001798368-003

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