Bledsoe, Yolanda
Bledsoe, Yolanda is an individual health care provider with primary practice located at 1225 Graham Rd Ste C-2320 , Florissant MO 63031-8030. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bledsoe, Yolanda can be contacted via phone (314) 953-6801.Contact Information
Primary practice address
1225 Graham Rd Ste C-2320
Florissant MO 63031-8030
Phone: (314) 953-6801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 110758 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 110758 | Missouri |
Profile Details
| NPI number | 1396855391 |
|---|---|
| LBN Legal business name | Bledsoe, Yolanda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 12th, 2021 - about 4 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 | 1396855391 | NPPES |
| Missouri | MEDICAID | 207300104 |
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