Jeffrey R Yessenow
Gynecologist
9250 Columbia Ave Ste A2
Munster
, Indiana 46321
Jeffrey R Yessenow
Gynecologist
9250 Columbia Ave Ste A2
Munster
, Indiana 46321
(219) 513-2385
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Jeffrey R Yessenow
- 9250 Columbia Ave Ste A2
- Munster, IN
- Zip : 46321
- Fax : (219) 513-2385
- Phone : (219) 513-1300
Second Address
- Jeffrey R Yessenow
- 9250 Columbia Ave Ste A2
- Munster, IN
- Zip : 46321
- Fax : (219) 513-2385
- Phone : (219) 513-1300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 01030811A | IN |
National Provider Identifier
| NPI | 1194725135 |
|---|---|
| Provider Name | Jeffrey R Yessenow |
| First Address | Munster, IN 46321 |
| Second Address | Munster, IN 46321 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2005 |
| Last Update Date | 29/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100214810 | (05) | IN |
| B29094 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.