Yockey, Sandy L

Yockey, Sandy L is an individual health care provider with primary practice located at 102 W Kenwood Ave Lowr Level , Decatur IL 62526-4368. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Yockey, Sandy L can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
102 W Kenwood Ave Lowr Level Decatur IL 62526-4368
Fax: (217) 545-7782
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036086620 Illinois

Profile Details

NPI number 1427132190
LBN Legal business name Yockey, Sandy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 4th, 2020 - about 4 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 1427132190 NPPES
Illinois MEDICAID 036086620

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