Yetzer, Jacob Gregory

Yetzer, Jacob Gregory is an individual health care provider with primary practice located at 3366 Oakdale Ave N Ste 200 , Robbinsdale MN 55422-2962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Yetzer, Jacob Gregory can be contacted via phone (763) 581-5360.

Contact Information

Primary practice address
3366 Oakdale Ave N Ste 200 Robbinsdale MN 55422-2962
Phone: (763) 581-5360
Fax: (763) 581-5361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X ME119107 Florida

Profile Details

NPI number 1588823983
LBN Legal business name Yetzer, Jacob Gregory
Credentials M.D., D.D.S
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Oct 28th, 2019 - about 5 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 1588823983 NPPES
Georgia MEDICAID 003147783A
Georgia MEDICAID 011938600

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