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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1891764726 | NPPES |
| Indiana | MEDICAID | 200852970 | |
| Indiana | MEDICAID | 7100004390 |
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