Young, Edward D
Young, Edward D is an individual health care provider with primary practice located at 4310 Leonard St Nw , Grand Rapids MI 49534-8447. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Young, Edward D can be contacted via phone (616) 791-0230.Contact Information
Primary practice address
4310 Leonard St Nw
Grand Rapids MI 49534-8447
Phone: (616) 791-0230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 2901013995 | Michigan |
Profile Details
| NPI number | 1073656195 |
|---|---|
| LBN Legal business name | Young, Edward D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073656195 | NPPES |
| Michigan | MEDICAID | 4563730 |
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