Healthcare Provider Details

I. General information

NPI: 1972097582
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL YEE BS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11590 CENTURY BLVD STE 116
CINCINNATI OH
45246-3317
US

IV. Provider business mailing address

10100 ELIDA RD
DELPHOS OH
45833-9056
US

V. Phone/Fax

Practice location:
  • Phone: 513-771-7239
  • Fax: 513-771-3878
Mailing address:
  • Phone: 619-695-8010
  • Fax: 619-695-0004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: