Yeshou, Dima
Yeshou, Dima is an sole proprietor health care provider with primary practice located at 12-04 Saddle River Rd , Fair Lawn NJ 07410-5811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Yeshou, Dima can be contacted via phone (201) 773-8710.Contact Information
Primary practice address
12-04 Saddle River Rd
Fair Lawn NJ 07410-5811
Phone: (201) 773-8710
Fax: (201) 773-8711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 241486 | New York |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 25MA08384100 | New Jersey |
Profile Details
| NPI number | 1124287412 |
|---|---|
| LBN Legal business name | Yeshou, Dima |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Oct 5th, 2015 - 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 | 1124287412 | NPPES |
| New Jersey | MEDICAID | 0190861 |
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