Erben, Young Mi

Erben, Young Mi is an individual health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Erben, Young Mi can be contacted via phone (904) 953-2000.

Contact Information

Primary practice address
4500 San Pablo Rd S Jacksonville FL 32224-1865
Phone: (904) 953-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 52985 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 52985 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME137654 Florida

Profile Details

NPI number 1265697247
LBN Legal business name Erben, Young Mi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2008
Last updated Aug 31st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265697247 NPPES
Minnesota MEDICAID ENROLLED
Minnesota Other P00992439
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID ENROLLED

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