Yushuvayev, Yakov
Yushuvayev, Yakov is an sole proprietor health care provider with primary practice located at 420 E Southern Ave Ste 110A , Mesa AZ 85204-4945. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Yushuvayev, Yakov can be contacted via phone (480) 397-9610.Contact Information
Primary practice address
420 E Southern Ave Ste 110A
Mesa AZ 85204-4945
Phone: (480) 397-9610
Fax: (480) 397-9611
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
NPI number | 1225516578 |
---|---|
LBN Legal business name | Yushuvayev, Yakov |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 30th, 2018 |
Last updated | Jul 30th, 2018 - about 6 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 | 1225516578 | NPPES |
Arizona | MEDICAID | 568006 |
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