Yeckes-Rodin, Heather
Yeckes-Rodin, Heather is an individual health care provider with primary practice located at 1871 S. E. Tiffany Ave Suite 100, Port St. Lucie FL 34952-7596. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Yeckes-Rodin, Heather can be contacted via phone (772) 355-5666.Contact Information
Primary practice address
1871 S. E. Tiffany Ave Suite 100
Port St. Lucie FL 34952-7596
Phone: (772) 355-5666
Fax: (772) 335-3781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 219188 | Massachusetts |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME97999 | Florida |
Profile Details
| NPI number | 1740214840 |
|---|---|
| LBN Legal business name | Yeckes-Rodin, Heather |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Oct 9th, 2009 - about 17 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 | 1740214840 | NPPES |
| Florida | MEDICAID | 279770400 | |
| Florida | Other | 05438 |
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