Yasuda, Gregory M
Yasuda, Gregory M is an individual health care provider with primary practice located at 75 Yellow Creek Rd Ste 101 , Evanston WY 82930-5205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Yasuda, Gregory M can be contacted via phone (307) 789-7777.Contact Information
Primary practice address
75 Yellow Creek Rd Ste 101
Evanston WY 82930-5205
Phone: (307) 789-7777
Fax: (307) 789-8888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5379A | Wyoming |
Profile Details
| NPI number | 1841391349 |
|---|---|
| LBN Legal business name | Yasuda, Gregory M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jan 5th, 2012 - about 13 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 | 1841391349 | NPPES |
| Wyoming | MEDICAID | 109094100 | |
| Wyoming | Other | 310965 |
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