Young, Carolyn

Young, Carolyn is an sole proprietor health care provider with primary practice located at 3288 Coys Ln , Cottondale FL 32431-8724. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Young, Carolyn can be contacted via phone (850) 579-4737.

Contact Information

Primary practice address
3288 Coys Ln Cottondale FL 32431-8724
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Florida

Profile Details

NPI number 1750628194
LBN Legal business name Young, Carolyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2013
Last updated Jan 4th, 2013 - about 12 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 1750628194 NPPES
Florida MEDICAID 673101596

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