Yancovich, Stephen Wayne
Yancovich, Stephen Wayne is an individual health care provider with primary practice located at 4228 Houma Blvd Suite 510, Metairie LA 70006-3000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Yancovich, Stephen Wayne can be contacted via phone (504) 454-0141.Contact Information
Primary practice address
4228 Houma Blvd Suite 510
Metairie LA 70006-3000
Phone: (504) 454-0141
Fax: (504) 885-2465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PENDING | Louisiana |
Profile Details
| NPI number | 1518252709 |
|---|---|
| LBN Legal business name | Yancovich, Stephen Wayne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2011 |
| Last updated | Jun 17th, 2016 - about 9 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 | 1518252709 | NPPES |
| Louisiana | Other | 5CW06PE87 | MEDICARE PTAN |
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