Yatsynovich, Yan V

Yatsynovich, Yan V is an sole proprietor health care provider with primary practice located at 228 W 4Th St , Cookeville TN 38501-2488. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Yatsynovich, Yan V can be contacted via phone (931) 372-0405.

Contact Information

Primary practice address
228 W 4Th St Cookeville TN 38501-2488
Phone: (931) 372-0405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 64321 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 64321 Tennessee
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 64321 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 64321 Tennessee

Profile Details

NPI number 1427445071
LBN Legal business name Yatsynovich, Yan V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2015
Last updated Sep 26th, 2022 - about 3 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 1427445071 NPPES
Tennessee MEDICAID T24986A

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