Yamaguchi, Dean Jared
Yamaguchi, Dean Jared is an individual health care provider with primary practice located at 115 Heart Dr East Carolina Heart Institute At Ecu, Greenville NC 27834-8944. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Yamaguchi, Dean Jared can be contacted via phone (252) 744-4400.Contact Information
Primary practice address
115 Heart Dr East Carolina Heart Institute At Ecu
Greenville NC 27834-8944
Phone: (252) 744-4400
Fax: (252) 744-3987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2013-01240 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | TRN10139 | Florida |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2013-01204 | North Carolina |
Profile Details
| NPI number | 1316016397 |
|---|---|
| LBN Legal business name | Yamaguchi, Dean Jared |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Mar 12th, 2024 - about 6 months 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 | 1316016397 | NPPES |
| North Carolina | MEDICAID | 1316016397 | |
| North Carolina | Other | 511378 | |
| North Carolina | Other | 179P0 |
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