Jordan, Amy Young
Jordan, Amy Young is an individual health care provider with primary practice located at 2704 Saint Jude St , Greensboro NC 27405-3670. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Jordan, Amy Young can be contacted via phone (336) 954-7546.Contact Information
Primary practice address
2704 Saint Jude St
Greensboro NC 27405-3670
Phone: (336) 954-7546
Fax: (336) 235-4018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 200200555 | North Carolina |
Profile Details
| NPI number | 1275502536 |
|---|---|
| LBN Legal business name | Jordan, Amy Young |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jan 3rd, 2014 - about 10 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 | 1275502536 | NPPES |
| North Carolina | MEDICAID | 89131MF |
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