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NPI Code Detail

MEDICARE: DR. ALOYSIUS YINUG M.D

MEDICARE: DR. ALOYSIUS YINUG M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD00041402WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20189877OTHERWAL & I
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730183708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALOYSIUS YINUG M.D
Provider Business Mailing Address
First Line : PO BOX 5127
Second Line :
City : EVERETT
State : WA
Zip : 98206-5127
Country : US
Telephone Number : 360-629-1504
Fax Number : 360-629-1513
Provider Business Practice Location Address
First Line : 7205 265TH ST NW
Second Line :
City : STANWOOD
State : WA
Zip : 98292-6221
Country : US
Telephone Number : 360-629-1504
Fax Number : 360-629-1513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 03/15/2017

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Directions to “ DR. ALOYSIUS YINUG M.D” Practice Location

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