Yerxa, John D
Yerxa, John D is an individual health care provider with primary practice located at 2743B Hwy 35N , Mimbres NM 88049. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Yerxa, John D can be contacted via phone (575) 536-3990.Contact Information
Primary practice address
2743B Hwy 35N
Mimbres NM 88049
Phone: (575) 536-3990
Fax: (575) 536-3991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2007-0006 | New Mexico |
Profile Details
| NPI number | 1477675015 |
|---|---|
| LBN Legal business name | Yerxa, John D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Nov 24th, 2008 - about 18 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 | 1477675015 | NPPES |
| Other | NM300066 | MEDICARE PTAN | |
| MEDICAID | 57372764 | MEDICARE PTAN |
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