Yalan Yin

Individual provider Active NPI Driver · Bozeman, MT

NPI 1245052166 · NPPES record last updated Oct 30, 2024

Key facts

NPI
1245052166
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
AAA0000276043 (MT)
Practice address
105 W Main St Apt 3a
Bozeman, MT 59715-4689
Phone
(406) 595-6988
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AAA0000276043MTMDDriver

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X AAA0000276043 MT Yes

Addresses

Primary practice location

105 W Main St Apt 3a
Bozeman, MT 59715-4689

Mailing address

105 W Main St Apt 3a
Bozeman, MT 59715-4689
Phone (406) 595-6988

Other providers in Bozeman, MT

All providers in Bozeman, MT · Driver in Montana

Sources for this page

Verify at the official NPI Registry.