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
Phone: (856) 541-8217
Fax: (856) 541-4611
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326087032 | NPPES |
New Jersey | MEDICAID | 3605604 |
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