Young, Charles-Warren Victor

Young, Charles-Warren Victor is an sole proprietor health care provider with primary practice located at Athletic Training Room 5800 Ownby Dr., Dallas TX 75275-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Young, Charles-Warren Victor can be contacted via phone (214) 768-1704.

Contact Information

Primary practice address
Athletic Training Room 5800 Ownby Dr. Dallas TX 75275-0001
Phone: (214) 768-1704
Fax: (214) 768-1225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT2668 Texas

Profile Details

NPI number 1801925516
LBN Legal business name Young, Charles-Warren Victor
Credentials MLA, ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1801925516 NPPES
Texas Other AT2668 STATE ATHLETIC TRAINER LI

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