Yoder, Paul J.

Yoder, Paul J. is an individual health care provider with primary practice located at 330 Lakeview Dr , Goshen IN 46528-9365. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Yoder, Paul J. can be contacted via phone (574) 533-1234.

Contact Information

Primary practice address
330 Lakeview Dr Goshen IN 46528-9365
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040072A Indiana

Profile Details

NPI number 1932148095
LBN Legal business name Yoder, Paul J.
Credentials HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated May 8th, 2009 - about 17 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 1932148095 NPPES
Other 000000202228 ANTHEM PIN
MEDICAID 200014860 ANTHEM PIN

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