Mengistu Yemane Md Pllc
LBN: Mengistu Yemane Md Pllc
Mengistu Yemane Md Pllc is an health care organization with primary practice located at 30 Tower Cir , Somerset KY 42503-3476. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Mengistu Yemane Md Pllc can be contacted via phone (606) 451-8644, or through Yemane, Mengistu via phone (606) 451-8644.
Contact Information
Primary practice address
30 Tower Cir
Somerset KY 42503-3476
Phone: (606) 451-8644
Fax: (606) 451-9644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38234 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4821P | Kentucky |
Profile Details
| NPI number | 1275728289 |
|---|---|
| LBN Legal business name | Mengistu Yemane Md Pllc |
| DBA Doing business as | |
| Authorized official | Yemane, Mengistu Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2007 |
| Last updated | Dec 1st, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275728289 | NPPES |
| Kentucky | Other | DH2005 | RR MDC |
| Kentucky | MEDICAID | 64066574 | RR MDC |
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