Yearwood, Keisha

Yearwood, Keisha is an sole proprietor health care provider with primary practice located at 1150 Brooklyn Ave , Brooklyn NY 11203-5113. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Yearwood, Keisha can be contacted via phone (917) 862-5215.

Contact Information

Primary practice address
1150 Brooklyn Ave Brooklyn NY 11203-5113
Phone: (917) 862-5215
Fax: (718) 347-4643
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 270302 New York

Profile Details

NPI number 1174659650
LBN Legal business name Yearwood, Keisha
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jul 9th, 2007 - about 18 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 1174659650 NPPES
New York MEDICAID 02598938

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