1376534735 NPI number — YATES & SEIB, INC.

Table of content: (NPI 1376534735)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376534735 NPI number — YATES & SEIB, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YATES & SEIB, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376534735
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 HAYES ST
Provider Second Line Business Mailing Address:
P.O. BOX 399
Provider Business Mailing Address City Name:
TOCCOA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30577-2067
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-886-3883
Provider Business Mailing Address Fax Number:
706-886-3812

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 HAYES ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOCCOA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30577-2067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-886-3883
Provider Business Practice Location Address Fax Number:
706-886-3812
Provider Enumeration Date:
11/03/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SEIB
Authorized Official First Name:
ELLEN
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
706-886-3883

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  PT001906,PT001873 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00817979A, 00817957A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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