Young, Charles R

Young, Charles R is an individual health care provider with primary practice located at 21111 Middlebelt Rd , Farmington Hills MI 48336-5549. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Young, Charles R can be contacted via phone (248) 478-1150.

Contact Information

Primary practice address
21111 Middlebelt Rd Farmington Hills MI 48336-5549
Phone: (248) 478-1150
Fax: (248) 478-1156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X CY000630 Michigan

Profile Details

NPI number 1467491720
LBN Legal business name Young, Charles R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 4th, 2010 - about 15 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 1467491720 NPPES
Michigan MEDICAID 1064218

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