Provider Demographics
NPI:1548809007
Name:THOJ, YEEV
Entity type:Individual
Prefix:
First Name:YEEV
Middle Name:
Last Name:THOJ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1896 3RD ST E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55119-3417
Mailing Address - Country:US
Mailing Address - Phone:651-472-7668
Mailing Address - Fax:
Practice Address - Street 1:1896 3RD ST E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55119-3417
Practice Address - Country:US
Practice Address - Phone:651-472-7668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
09131424OtherCARE ATTENDANT