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NPI Code Detail

MEDICARE: DR. HAL R YOST D.O.

MEDICARE: DR. HAL R YOST D.O.
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
1207R00000XInternal Medicine Physician5101009016MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11151600345OTHERMIINDIVIDUAL BLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3010A660000OTHERMIGROUP BLUE CROSS

General Provider Information

NPI Number : 1801820154
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAL R YOST D.O.
Provider Business Mailing Address
First Line : 1014 SIXTH ST STE 103
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2398
Country : US
Telephone Number : 231-922-9270
Fax Number : 231-922-9271
Provider Business Practice Location Address
First Line : 1105 SIXTH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2349
Country : US
Telephone Number : 231-922-9270
Fax Number : 231-922-9271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 06/18/2014

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Directions to “ DR. HAL R YOST D.O.” Practice Location

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