Yeargan, Wilfred W
Yeargan, Wilfred W is an individual health care provider with primary practice located at 1030 Fairfax Park , Tuscaloosa AL 35406-2806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Yeargan, Wilfred W can be contacted via phone (205) 752-1584.Contact Information
Primary practice address
1030 Fairfax Park
Tuscaloosa AL 35406-2806
Phone: (205) 752-1584
Fax: (205) 752-9987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 3697 | Alabama |
Profile Details
| NPI number | 1376531152 |
|---|---|
| LBN Legal business name | Yeargan, Wilfred W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Aug 18th, 2011 - about 15 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 | 1376531152 | NPPES |
| Alabama | Other | 407183036 | MEDICARE RAILROAD |
| Alabama | Other | 0923740001 | MEDICARE RAILROAD |
| Alabama | Other | 51007147 | MEDICARE RAILROAD |
| Alabama | MEDICAID | 000007147 | MEDICARE RAILROAD |
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