'Young C Fan Md'

LBN: 'Young C Fan Md'
'Young C Fan Md' is an health care organization with primary practice located at 119 E Mechanic St , Titusville PA 16354-2161. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. 'Young C Fan Md' can be contacted via phone (814) 827-4602, or through Fan, Young C via phone (814) 827-4602.

Contact Information

Primary practice address
119 E Mechanic St Titusville PA 16354-2161
Phone: (814) 827-4602
Fax: (814) 827-6322
Website:
Map and Directions
Authorized official contact:
Name: Fan, Young C Doctor of Medicine (MD)
Phone: (814) 827-4602

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD033897L Pennsylvania

Profile Details

NPI number 1073585741
LBN Legal business name 'Young C Fan Md'
DBA Doing business as
Authorized official Fan, Young C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073585741 NPPES
Pennsylvania MEDICAID 0006010740001
Pennsylvania Other 032140

Popular Providers