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
Fax: (480) 397-9611
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225516578 NPPES
Arizona MEDICAID 568006

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