Yakich, Jordan Robert

Yakich, Jordan Robert is an individual health care provider with primary practice located at 12800 N Lake Shore Dr , Mequon WI 53097-2418. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Emergency Care, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Yakich, Jordan Robert can be contacted via phone (262) 853-6947.

Contact Information

Primary practice address
12800 N Lake Shore Dr Mequon WI 53097-2418
Phone: (262) 853-6947
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Emergency Care 2279E0002X Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Wisconsin

Profile Details

NPI number 1598351173
LBN Legal business name Yakich, Jordan Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2020
Last updated Dec 17th, 2020 - about 5 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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