Robertson, John Yeardley
Robertson, John Yeardley is an individual health care provider with primary practice located at 1478 W Main St , Newark OH 43055-3687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Robertson, John Yeardley can be contacted via phone (740) 366-1648.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34-00-8001-R | Ohio |
Profile Details
| NPI number | 1770571804 |
|---|---|
| LBN Legal business name | Robertson, John Yeardley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Feb 14th, 2014 - about 10 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 | 1770571804 | NPPES |
| Ohio | Other | 000000343448 | ANTHEM |
| Ohio | Other | 7252573 | ANTHEM |
| Ohio | MEDICAID | 2497927 | ANTHEM |
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