Yao, Jim
Yao, Jim is an individual health care provider with primary practice located at 314 Ridge Rd , Munster IN 46321-1528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Yao, Jim can be contacted via phone (219) 789-1169.Contact Information
Primary practice address
314 Ridge Rd
Munster IN 46321-1528
Phone: (219) 789-1169
Fax: (219) 836-9364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01061528A | Indiana |
Profile Details
| NPI number | 1427028968 |
|---|---|
| LBN Legal business name | Yao, Jim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jun 26th, 2024 - about 5 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 | 1427028968 | NPPES |
| Illinois | MEDICAID | 036115173 |
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