Healthcare Provider Details

I. General information

NPI: 1871894006
Provider Name (Legal Business Name): ROBERT C YEE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 11/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 PROFESSIONAL PARK
BECKLEY WV
25801-3623
US

IV. Provider business mailing address

120 PROFESSIONAL PARK
BECKLEY WV
25801-3623
US

V. Phone/Fax

Practice location:
  • Phone: 304-252-1320
  • Fax: 304-252-1320
Mailing address:
  • Phone: 304-252-1320
  • Fax: 304-252-1320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number11456
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11456
License Number StateWV

VIII. Authorized Official

Name: DR. ROBERT CHENG YEE
Title or Position: OWNER
Credential: MD
Phone: 304-252-1320