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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265697247 | NPPES |
Minnesota | MEDICAID | ENROLLED | |
Minnesota | Other | P00992439 | |
Minnesota | MEDICAID | ENROLLED | |
Minnesota | MEDICAID | ENROLLED | |
Minnesota | MEDICAID | ENROLLED |
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