Yacob, Desalegn
Yacob, Desalegn is an sole proprietor health care provider with primary practice located at 700 Children'S Drive , Columbus OH 43205-2664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Yacob, Desalegn can be contacted via phone (614) 722-3450.Contact Information
Primary practice address
700 Children'S Drive
Columbus OH 43205-2664
Phone: (614) 722-3450
Fax: (614) 722-3454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 35090138 | Ohio |
Profile Details
| NPI number | 1689845208 |
|---|---|
| LBN Legal business name | Yacob, Desalegn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2008 |
| Last updated | Dec 27th, 2023 - about last year |
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 | 1689845208 | NPPES |
| Ohio | MEDICAID | 2930761 | |
| Ohio | Other | 4263131 |
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