Yamoah, Johnny Gyebi-Adu
Yamoah, Johnny Gyebi-Adu is an individual health care provider with primary practice located at 1701 Lacey St , Cape Girardeau MO 63701-5230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Yamoah, Johnny Gyebi-Adu can be contacted via phone (573) 334-4822.Contact Information
Primary practice address
1701 Lacey St
Cape Girardeau MO 63701-5230
Phone: (573) 334-4822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2009000147 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125050224 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125050244 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2009000147 | Missouri |
Profile Details
| NPI number | 1598973778 |
|---|---|
| LBN Legal business name | Yamoah, Johnny Gyebi-Adu |
| Credentials | M.D.FAAP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2007 |
| Last updated | Jun 13th, 2013 - about 12 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 | 1598973778 | NPPES |
| Missouri | MEDICAID | # PENDING | |
| Missouri | MEDICAID | 036119750 |
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