Yesus, Yohannes W.

Yesus, Yohannes W. is an individual health care provider with primary practice located at 1220 Missouri Ave Pathology Dept, Jeffersonville IN 47130-3725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Yesus, Yohannes W. can be contacted via phone (812) 283-2169.

Contact Information

Primary practice address
1220 Missouri Ave Pathology Dept Jeffersonville IN 47130-3725
Phone: (812) 283-2169
Fax: (502) 456-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 36204 Kentucky
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01051747 Indiana

Profile Details

NPI number 1679665749
LBN Legal business name Yesus, Yohannes W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Sep 12th, 2011 - about 13 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 1679665749 NPPES
Kentucky MEDICAID 64021199
Kentucky MEDICAID 200268960A
Kentucky Other 3471714000
Kentucky Other P00430453
Kentucky Other 50022834
Kentucky Other 000000528992

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