Yoder, Dwight Allen

Yoder, Dwight Allen is an sole proprietor health care provider with primary practice located at 1605 University Blvd S , Mobile AL 36609-2960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Yoder, Dwight Allen can be contacted via phone (251) 660-9393.

Contact Information

Primary practice address
1605 University Blvd S Mobile AL 36609-2960
Phone: (251) 660-9393
Fax: (251) 662-0372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22182 Alabama

Profile Details

NPI number 1962563114
LBN Legal business name Yoder, Dwight Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 9th, 2007 - about 18 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 1962563114 NPPES
Alabama Other 51517605 BCBS OF AL
Alabama MEDICAID 03374772 BCBS OF AL

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