Yacoub, Emile Ignatius
Yacoub, Emile Ignatius is an individual health care provider with primary practice located at 341 Magnolia Ave Suite 103, Corona CA 92879-3330. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Yacoub, Emile Ignatius can be contacted via phone (951) 735-6060.Contact Information
Primary practice address
341 Magnolia Ave Suite 103
Corona CA 92879-3330
Phone: (951) 735-6060
Fax: (951) 735-4510
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT25573 | California |
Profile Details
NPI number | 1285645606 |
---|---|
LBN Legal business name | Yacoub, Emile Ignatius |
Credentials | DPT OCS CSCS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2006 |
Last updated | Oct 21st, 2008 - about 16 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 | 1285645606 | NPPES |
California | Other | 0PT255730 | BLUE CROSS |
California | Other | 0PT255730 | BLUE CROSS |
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