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
Phone: (217) 545-8000
Fax: (217) 545-7782
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427132190 | NPPES |
Illinois | MEDICAID | 036086620 |
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