Doctor Name: | MR. ERIC JAMES YOON |
NPI Number: | 1326046798 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DNP |
License Number: | NP05791 |
Business Practice Address: | 95 East Main Street West Jefferson, OH - 43162 |
Business Phone Number: | 6148797100 |
Business Fax Number: | 6148797151 |
Mailing Address: | 95 E Main St, WEST JEFFERSON |
State: | OH |
Postal Code: | 431621205 |
Phone Number: | 6148797100 |
Fax Number: | 6148797151 |
NPI Enumeration Date: | 07/11/2005 |
NPI Last Update Date: | 01/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 09/21/2005 |
NPI Reactivation Date: | 10/27/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | NP05791 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |