Yim, Andrew

Yim, Andrew is an individual health care provider with primary practice located at 400 Columbus Ave , New Haven CT 06519-1233. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Yim, Andrew can be contacted via phone (203) 503-3250.

Contact Information

Primary practice address
400 Columbus Ave New Haven CT 06519-1233
Phone: (203) 503-3250
Fax: (203) 503-3254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002945 Connecticut

Profile Details

NPI number 1902874530
LBN Legal business name Yim, Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Feb 29th, 2012 - 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 1902874530 NPPES
Connecticut MEDICAID 004235900

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