Ghidey, Yohannes
Ghidey, Yohannes is an individual health care provider with primary practice located at 6000 Bond Ave , East Saint Louis IL 62207-2328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ghidey, Yohannes can be contacted via phone (618) 332-2740.Contact Information
Primary practice address
6000 Bond Ave
East Saint Louis IL 62207-2328
Phone: (618) 332-2740
Fax: (618) 332-8755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036081694 | Illinois |
Profile Details
| NPI number | 1306851084 |
|---|---|
| LBN Legal business name | Ghidey, Yohannes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Nov 18th, 2011 - about 13 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 | 1306851084 | NPPES |
| Illinois | MEDICAID | 296885682 |
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