Yazel, Eric Blaine

Yazel, Eric Blaine is an individual health care provider with primary practice located at 1214 Spring St # 1 , Jeffersonville IN 47130-3704. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Yazel, Eric Blaine can be contacted via phone (812) 283-3993.

Contact Information

Primary practice address
1214 Spring St # 1 Jeffersonville IN 47130-3704
Phone: (812) 283-3993
Fax: (812) 283-7294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01062273 Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 40102 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01062273 Indiana
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01066273 Indiana

Profile Details

NPI number 1891764726
LBN Legal business name Yazel, Eric Blaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated May 20th, 2016 - about 8 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 1891764726 NPPES
Indiana MEDICAID 200852970
Indiana MEDICAID 7100004390

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