Young, Jerry D

Young, Jerry D is an sole proprietor health care provider with primary practice located at 600 Hospital Cir Suite 201, Bay City TX 77414-4771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Young, Jerry D can be contacted via phone (979) 241-6100.

Contact Information

Primary practice address
600 Hospital Cir Suite 201 Bay City TX 77414-4771
Phone: (979) 241-6100
Fax: (979) 241-6105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J4630 Texas

Profile Details

NPI number 1154408235
LBN Legal business name Young, Jerry D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Feb 24th, 2016 - about 9 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 1154408235 NPPES
Texas Other 8F7562 MEDICARE ID - TYPE UNSPECIFIED
Texas MEDICAID 122021206 MEDICARE ID - TYPE UNSPECIFIED

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