Yakobashvili, David
Yakobashvili, David is an sole proprietor health care provider with primary practice located at 201 Pleasant Hill Rd , Chester NJ 07930-2141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Yakobashvili, David can be contacted via phone (917) 596-4004.Contact Information
Primary practice address
201 Pleasant Hill Rd
Chester NJ 07930-2141
Phone: (917) 596-4004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA06761800 | New Jersey |
Profile Details
| NPI number | 1265420137 |
|---|---|
| LBN Legal business name | Yakobashvili, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Nov 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265420137 | NPPES |
| New Jersey | MEDICAID | 7625201 |
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