Yeasted, Christian

Yeasted, Christian is an individual health care provider with primary practice located at 5533 Mahoning Ave Ste D, Austintown OH 44515-2366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yeasted, Christian can be contacted via phone (330) 793-2701.

Contact Information

Primary practice address
5533 Mahoning Ave Ste D Austintown OH 44515-2366
Phone: (330) 793-2701
Fax: (330) 793-8688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.126681 Ohio

Profile Details

NPI number 1508154279
LBN Legal business name Yeasted, Christian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2011
Last updated Feb 13th, 2017 - 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 1508154279 NPPES
Ohio MEDICAID 0137845
Ohio Other H379990

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