Young, Carol L.

Young, Carol L. is an individual health care provider with primary practice located at 3111 Gundersen Dr , Onalaska WI 54650-8447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Young, Carol L. can be contacted via phone (608) 775-8100.

Contact Information

Primary practice address
3111 Gundersen Dr Onalaska WI 54650-8447
Phone: (608) 775-8100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G34849 California
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 65143 Wisconsin

Profile Details

NPI number 1407853328
LBN Legal business name Young, Carol L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 7th, 2016 - about 9 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 1407853328 NPPES
California MEDICAID 00G348490

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