Yousef, Ejaz
Yousef, Ejaz is an individual health care provider with primary practice located at 807 Childrens Way Nemours Childrens Clinic, Jacksonville, Jacksonville FL 32207-8426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is his primary health care specialty. Yousef, Ejaz can be contacted via phone (904) 697-3600.Contact Information
Primary practice address
807 Childrens Way Nemours Childrens Clinic, Jacksonville
Jacksonville FL 32207-8426
Phone: (904) 697-3600
Fax: (904) 697-3455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 56579 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | ME120908 | Florida |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 56579 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | C10006135 | Delaware |
Profile Details
| NPI number | 1205996402 |
|---|---|
| LBN Legal business name | Yousef, Ejaz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | May 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 | 1205996402 | NPPES |
| Florida | MEDICAID | 013670600 | |
| Florida | MEDICAID | 0033153424B | |
| Florida | MEDICAID | 8003700 | |
| Florida | MEDICAID | 8301018 | |
| Florida | MEDICAID | 1205996402 | |
| Florida | MEDICAID | 64050859 | |
| Florida | MEDICAID | 001680789 |
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