Beyene, Yemisrach A.

Beyene, Yemisrach A. is an individual health care provider with primary practice located at 5442 Sycuan Rd , El Cajon CA 92019-1816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Beyene, Yemisrach A. can be contacted via phone (619) 445-0707.

Contact Information

Primary practice address
5442 Sycuan Rd El Cajon CA 92019-1816
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C168678 California

Profile Details

NPI number 1528114980
LBN Legal business name Beyene, Yemisrach A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated May 9th, 2023 - about last year

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 1528114980 NPPES
Other YB080711 CHAMPUS-CHAMPUS
Other 080H262390 CHAMPUS-CHAMPUS
Other YB080711 CHAMPUS-CHAMPUS
MEDICAID 478543410 CHAMPUS-CHAMPUS

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