Yacoub, John

Yacoub, John is an individual health care provider with primary practice located at 2723 S 7Th St Suite A, Terre Haute IN 47802-3558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Yacoub, John can be contacted via phone (812) 232-8164.

Contact Information

Primary practice address
2723 S 7Th St Suite A Terre Haute IN 47802-3558
Phone: (812) 232-8164
Fax: (812) 234-6391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01062336A Indiana

Profile Details

NPI number 1417980483
LBN Legal business name Yacoub, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jun 6th, 2011 - about 13 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 1417980483 NPPES
Indiana Other P00404189 RAILROAD MEDICARE
Indiana MEDICAID 200850550 RAILROAD MEDICARE
Indiana Other 000000501251 RAILROAD MEDICARE

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