Jadallah, Yazan K
Jadallah, Yazan K is an individual health care provider with primary practice located at 1044 Belmont Avenue , Youngstown OH 44501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jadallah, Yazan K can be contacted via phone (330) 746-7211.Contact Information
Primary practice address
1044 Belmont Avenue
Youngstown OH 44501
Phone: (330) 746-7211
Fax: (330) 480-3916
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35 079101J | Ohio |
Profile Details
NPI number | 1043295082 |
---|---|
LBN Legal business name | Jadallah, Yazan K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2005 |
Last updated | Jan 10th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043295082 | NPPES |
Ohio | Other | 101307865-0003 | PENNSYLVANIA MEDICAID |
Ohio | Other | 101307865-0002 | PENNSYLVANIA MEDICAID |
Ohio | MEDICAID | 2258435 | PENNSYLVANIA MEDICAID |
Ohio | Other | P00375999 | PENNSYLVANIA MEDICAID |
Ohio | Other | 101307865-0001 | PENNSYLVANIA MEDICAID |
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