Yannetta, Jacob Carmen

Yannetta, Jacob Carmen is an individual health care provider with primary practice located at 2141 N Fairfield Rd Ste. B, Beavercreek OH 45431-2578. 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. Yannetta, Jacob Carmen can be contacted via phone (937) 458-0025.

Contact Information

Primary practice address
2141 N Fairfield Rd Ste. B Beavercreek OH 45431-2578
Phone: (937) 458-0025
Fax: (937) 458-0212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34.008653 Ohio
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 34008653 Ohio

Profile Details

NPI number 1992873046
LBN Legal business name Yannetta, Jacob Carmen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Nov 12th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992873046 NPPES
Ohio MEDICAID 2774869

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