Yates, Jeffrey K

Yates, Jeffrey K is an individual health care provider with primary practice located at 101 Skyline Dr , Russellville AR 72801-3363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yates, Jeffrey K can be contacted via phone (479) 968-2345.

Contact Information

Primary practice address
101 Skyline Dr Russellville AR 72801-3363
Fax: (479) 890-2467
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N-8364 Arkansas

Profile Details

NPI number 1932165024
LBN Legal business name Yates, Jeffrey K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 18th, 2015 - about 9 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 1932165024 NPPES
Arkansas MEDICAID 123414003

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