Yezhevsky, Yakov

Yezhevsky, Yakov is an individual health care provider with primary practice located at 9505 Ne 180Th St Apt 201, Bothell WA 98011-3367. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Yezhevsky, Yakov can be contacted via phone (206) 227-7546.

Contact Information

Primary practice address
9505 Ne 180Th St Apt 201 Bothell WA 98011-3367
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 60079835 Washington

Profile Details

NPI number 1255705166
LBN Legal business name Yezhevsky, Yakov
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2015
Last updated Nov 17th, 2015 - 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 1255705166 NPPES
Washington Other 646584 EVERGREEN CARE NETWORK

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