Yetter, Ellen M

Yetter, Ellen M is an individual health care provider with primary practice located at 12300 Metcalf Ave , Overland Park KS 66213-1324. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Yetter, Ellen M can be contacted via phone (913) 317-7000.

Contact Information

Primary practice address
12300 Metcalf Ave Overland Park KS 66213-1324
Phone: (913) 317-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2001029906 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-29534 Kansas

Profile Details

NPI number 1902873441
LBN Legal business name Yetter, Ellen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Mar 28th, 2013 - about 11 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 1902873441 NPPES
Missouri MEDICAID 205734726
Missouri MEDICAID 100410110D
Missouri Other 1902873441
Missouri MEDICAID 100410110B

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