Young, Bruce William
Young, Bruce William is an individual health care provider with primary practice located at 9300 Noble Pkwy N , Brooklyn Park MN 55443-5500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Young, Bruce William can be contacted via phone (763) 236-5300.Contact Information
Primary practice address
9300 Noble Pkwy N
Brooklyn Park MN 55443-5500
Phone: (763) 236-5300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38769 | Minnesota |
Profile Details
NPI number | 1932178480 |
---|---|
LBN Legal business name | Young, Bruce William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2006 |
Last updated | Nov 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932178480 | NPPES |
Minnesota | MEDICAID | 733326900 |
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