Young, Douglas Bryan

Young, Douglas Bryan is an individual health care provider with primary practice located at 200 W Grover St , Shelby NC 28150-3708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Young, Douglas Bryan can be contacted via phone (704) 487-8591.

Contact Information

Primary practice address
200 W Grover St Shelby NC 28150-3708
Phone: (704) 487-8591
Fax: (704) 480-9726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 24106 North Carolina

Profile Details

NPI number 1053399618
LBN Legal business name Young, Douglas Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jan 6th, 2010 - about 14 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 1053399618 NPPES
North Carolina Other 89801 BCBS
North Carolina Other 5060401 BCBS
North Carolina MEDICAID 8989801 BCBS
North Carolina Other 8508996002 BCBS

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