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Contact Information

JANICE YATES, PHYSICIAN ASSISTANT
CMR 402 BOX 2184
APO, AE09180-0022
 Phone: 314-486-8133
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JANICE YATES · (Female)

NPI Number 1164603791
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 11/26/2007
Last updated 05/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MA052004
  • WA License # PA60056456
Hospital affiliation(s) Not Available
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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