Yi, In Ja

Yi, In Ja is an individual health care provider with primary practice located at 5201 Harry Hines Blvd Wish Tubal Clinic, Dallas TX 75235-7708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Yi, In Ja can be contacted via phone (214) 590-5306.

Contact Information

Primary practice address
5201 Harry Hines Blvd Wish Tubal Clinic Dallas TX 75235-7708
Fax: (214) 590-2798
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 523322 Texas

Profile Details

NPI number 1649270034
LBN Legal business name Yi, In Ja
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 14th, 2009 - about 16 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 1649270034 NPPES
Texas MEDICAID 041561411
Texas MEDICAID 041561413
Texas MEDICAID 041561404
Texas Other 8N4775
Texas MEDICAID 041561405
Texas MEDICAID 041561409
Texas MEDICAID 041561407
Texas MEDICAID 041561408
Texas MEDICAID 041561412
Texas MEDICAID 041561402
Texas MEDICAID 041561403
Texas MEDICAID 041561406
Texas MEDICAID 041561410

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