Yium, Jackson J

Yium, Jackson J is an individual health care provider with primary practice located at 960 E 3Rd St Ste 208, Chattanooga TN 37403-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Yium, Jackson J can be contacted via phone (423) 778-2550.

Contact Information

Primary practice address
960 E 3Rd St Ste 208 Chattanooga TN 37403-2104
Phone: (423) 778-2550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 8325 Tennessee

Profile Details

NPI number 1467458885
LBN Legal business name Yium, Jackson J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 31st, 2008 - about 17 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 1467458885 NPPES
Tennessee MEDICAID 3154099

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