Yaacoub, Adel S.
Yaacoub, Adel S. is an individual health care provider with primary practice located at 3900 St Francis Way Ste 200 , Lafayette IN 47905-4940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Yaacoub, Adel S. can be contacted via phone (765) 765-7752.Contact Information
Primary practice address
3900 St Francis Way Ste 200
Lafayette IN 47905-4940
Phone: (765) 765-7752
Fax: (765) 775-2831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01039558 | Indiana |
Profile Details
| NPI number | 1477572550 |
|---|---|
| LBN Legal business name | Yaacoub, Adel S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Sep 29th, 2023 - about 2 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 | 1477572550 | NPPES |
| Indiana | MEDICAID | 200205010 |
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