Young, Jimmie

Young, Jimmie is an individual health care provider with primary practice located at 817 Federal St , Camden NJ 08103-1539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Young, Jimmie can be contacted via phone (856) 541-8217.

Contact Information

Primary practice address
817 Federal St Camden NJ 08103-1539
Fax: (856) 541-4611
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA04511000 New Jersey

Profile Details

NPI number 1326087032
LBN Legal business name Young, Jimmie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 2nd, 2010 - about 14 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 1326087032 NPPES
New Jersey MEDICAID 3605604

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