Yates, Joseph Randall

Yates, Joseph Randall is an individual health care provider with primary practice located at 3215 N Northhills Blvd , Fayetteville AR 72703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Yates, Joseph Randall can be contacted via phone (918) 664-9892.

Contact Information

Primary practice address
3215 N Northhills Blvd Fayetteville AR 72703
Phone: (918) 664-9892
Fax: (918) 664-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R50192 Arkansas

Profile Details

NPI number 1386887909
LBN Legal business name Yates, Joseph Randall
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2009
Last updated Aug 4th, 2018 - about 7 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 1386887909 NPPES
Arkansas Other 770193801 ARKANSAS BREASTCARE
Arkansas MEDICAID 177926001 ARKANSAS BREASTCARE
Arkansas MEDICAID 200246350A ARKANSAS BREASTCARE

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