Young, Elaine M

Young, Elaine M is an sole proprietor health care provider with primary practice located at 1411 6Th Ave , Huntington WV 25701-2420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Young, Elaine M can be contacted via phone (304) 525-6132.

Contact Information

Primary practice address
1411 6Th Ave Huntington WV 25701-2420
Phone: (304) 525-6132
Fax: (304) 697-0471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 16077 West Virginia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 21723 South Carolina

Profile Details

NPI number 1376528356
LBN Legal business name Young, Elaine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2005
Last updated Jan 11th, 2012 - 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 1376528356 NPPES
West Virginia MEDICAID 0069955000
West Virginia Other 001721516
West Virginia Other 550724241

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