Individual
DR. MARTHA F YEARSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1005 DORBETT ST, JASPER, IN 47546-2619
(812) 482-5700
(812) 481-1045
Mailing address
1005 DORBETT ST, JASPER, IN 47546-2619
(812) 482-5700
(812) 481-1045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01042841
IN
207R00000X
Internal Medicine Physician
036-084691
IL
208000000X
Pediatrics Physician
01042841
IN
208000000X
Pediatrics Physician
036-084691
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100414290B
—
IN
01
—
1B0000001823
ANTHEM BCBS
IN
01
—
990007893
MEDICARE RAILROAD
IN
Enumeration date
02/17/2006
Last updated
02/23/2015
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