Yang, Michael Ishu
Yang, Michael Ishu is an sole proprietor health care provider with primary practice located at 392 Tesconi Ct , Santa Rosa CA 95401-4653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Yang, Michael Ishu can be contacted via phone (707) 623-9803.Contact Information
Primary practice address
392 Tesconi Ct
Santa Rosa CA 95401-4653
Phone: (707) 623-9803
Fax: (707) 843-3257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A112702 | California |
Profile Details
| NPI number | 1063665438 |
|---|---|
| LBN Legal business name | Yang, Michael Ishu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2008 |
| Last updated | Apr 15th, 2018 - about 6 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 | 1063665438 | NPPES |
| California | Other | EV430X | MEDICARE PTAN |
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