Jeffrey A Yngstrom in Fort Wayne - Diagnostic Radiology

Jeffrey A Yngstrom - NPI 1902844756

Jeffrey A Yngstrom is a Diagnostic Radiology in Fort Wayne, Indiana. Jeffrey A Yngstrom practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jeffrey A Yngstrom is 1902844756. The last update date is 2007-07-08.

Jeffrey A Yngstrom's current location address is 3707 New Vision Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604840850 and fax number 2604845919. The mailing address for Jeffrey A Yngstrom is 3707 New Vision Dr, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey A Yngstrom
Address 3707 New Vision Dr, Fort Wayne, Indiana
Phone Number 2604840850
Fax Number 2604845919
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1902844756
Provider Enumeration Date 2006-06-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3707 New Vision Dr
City Fort Wayne
State Indiana (IN)
Post Code 468451702
Phone Number 2604840850
Fax Number 2604845919

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 01052614A
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5652 IN PHP
4218292100 MI --
2178709 OH --
92598 IN ANTHEM

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FAQs about Jeffrey A Yngstrom

What is the unique 10-digit identifier code assigned to Jeffrey A Yngstrom by the Centers for Medicare & Medicaid Services?

The Jeffrey A Yngstrom has been issued the NPI (National Provider Identifier) 1902844756 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jeffrey A Yngstrom is located?

The Jeffrey A Yngstrom is situated at the following address: 3707 New Vision Dr, Fort Wayne, IN, 468451702.

What is the Jeffrey A Yngstrom's area of specialization and corresponding taxonomy classification?

The Jeffrey A Yngstrom's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date did the Jeffrey A Yngstrom receive its 1902844756 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey A Yngstrom was assigned its 1902844756 by the Centers for Medicare & Medicaid Services on 2006-06-03.

When was the information related to Jeffrey A Yngstrom most recently updated or refreshed?

The details pertaining to the Jeffrey A Yngstrom, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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