Yackley, Mark Anthony

Yackley, Mark Anthony is an individual health care provider with primary practice located at 2101 N Waldron St , Hutchinson KS 67502-1131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Yackley, Mark Anthony can be contacted via phone (620) 669-2500.

Contact Information

Primary practice address
2101 N Waldron St Hutchinson KS 67502-1131
Phone: (620) 669-2500
Fax: (620) 669-2598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32631-020 Wisconsin
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 04-31842 Kansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-31842 Kansas

Profile Details

NPI number 1356347215
LBN Legal business name Yackley, Mark Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Aug 23rd, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356347215 NPPES
Kansas MEDICAID 200373750

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