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Contact Information

GRANT L YODER, DO
200 MESSIMER DR
NEWARK, OH43055
 Phone: 220-564-4873
 Fax: 220-564-4871
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for GRANT L YODER · (Male)

NPI # 1477714640
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/20/2008
Last updated 03/18/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 34011351
  • OH Medicaid 0104654
Hospital affiliation(s)
  • LICKING MEMORIAL HOSPITAL HOMECARE - (Acute Care)
    1320 WEST MAIN STREET
    NEWARK, OH 43055
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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