Young, Ira Sanders

Young, Ira Sanders is an individual health care provider with primary practice located at 8503 Arlington Blvd #310, Fairfax VA 22031-4628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Young, Ira Sanders can be contacted via phone (703) 208-4200.

Contact Information

Primary practice address
8503 Arlington Blvd #310 Fairfax VA 22031-4628
Phone: (703) 208-4200
Fax: (703) 876-1799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0101017574 Virginia

Profile Details

NPI number 1740281849
LBN Legal business name Young, Ira Sanders
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
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 1740281849 NPPES
Other 4495166 AETNA
Other 217801 AETNA
Other 291701 AETNA
Other 502652 AETNA
Other B131/0007 AETNA

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