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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154408235 | NPPES |
| Texas | Other | 8F7562 | MEDICARE ID - TYPE UNSPECIFIED |
| Texas | MEDICAID | 122021206 | MEDICARE ID - TYPE UNSPECIFIED |
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