Yoburn, David C

Yoburn, David C is an individual health care provider with primary practice located at 1076 N Main St , Providence RI 02904-5760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Yoburn, David C can be contacted via phone (401) 861-7711.

Contact Information

Primary practice address
1076 N Main St Providence RI 02904-5760
Fax: (401) 421-5710
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 42706 Massachusetts

Profile Details

NPI number 1346249695
LBN Legal business name Yoburn, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated May 20th, 2016 - about 8 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 1346249695 NPPES
Rhode Island MEDICAID 7000251

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