Young, John M
Young, John M is an individual health care provider with primary practice located at 1500 S Coulter St Ste 1 , Amarillo TX 79106-1787. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Young, John M can be contacted via phone (806) 354-0404.Contact Information
Primary practice address
1500 S Coulter St Ste 1
Amarillo TX 79106-1787
Phone: (806) 354-0404
Fax: (806) 354-2810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | J0387 | Texas |
Profile Details
| NPI number | 1578572392 |
|---|---|
| LBN Legal business name | Young, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Dec 31st, 2015 - 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 | 1578572392 | NPPES |
| Texas | Other | 127489100 | SOUTHWEST LIFE & HEALTH |
| Texas | MEDICAID | 081138202 | SOUTHWEST LIFE & HEALTH |
| Texas | Other | 83252F | SOUTHWEST LIFE & HEALTH |
| Texas | MEDICAID | 134071303 | SOUTHWEST LIFE & HEALTH |
| Texas | Other | 127489100 | SOUTHWEST LIFE & HEALTH |
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