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Individual

JEFFREY KEITH YENCHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35075711Y
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000118063
ANTHEM
01
007210034
AETNA
01
0083074
RR MEDICARE
01
1701430
UHC
05
2190892
OH
01
6410607002
CIGNA
01
9159492
PHCS
Enumeration date
09/21/2005
Last updated
01/18/2024
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