Joe V Yohannan
Family Doctor
201 S 14th St
Herrin
, Illinois 62948-3631
Joe V Yohannan
Family Doctor
201 S 14th St
Herrin
, Illinois 62948-3631
(618) 988-6166
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Joe V Yohannan
- 201 S 14th St
- Herrin, IL
- Zip : 62948-3631
- Fax : (618) 988-6166
- Phone : (618) 942-2171
Second Address
- Joe V Yohannan
- 201 S 14th St
- Herrin, IL
- Zip : 62948-3631
- Fax : (618) 988-6166
- Phone : (618) 942-2171
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 125062408 | IL |
National Provider Identifier
| NPI | 1003163148 |
|---|---|
| Provider Name | Joe V Yohannan |
| First Address | Herrin, IL 62948-3631 |
| Second Address | Herrin, IL 62948-3631 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2012 |
| Last Update Date | 11/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 214881 | MULTISPECIALTY GROUP PTAN (01) | IL |
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.