Yassa, Eanas S

Yassa, Eanas S is an individual health care provider with primary practice located at 4069 Lake Dr Se Suite 312, Grand Rapids MI 49546-8816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Yassa, Eanas S can be contacted via phone (616) 267-8700.

Contact Information

Primary practice address
4069 Lake Dr Se Suite 312 Grand Rapids MI 49546-8816
Phone: (616) 267-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301104003 Michigan

Profile Details

NPI number 1396954376
LBN Legal business name Yassa, Eanas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Feb 23rd, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396954376 NPPES
Michigan MEDICAID 1396954376
Michigan Other 1396954376

Popular Providers