Young, John Vincent
Young, John Vincent is an individual health care provider with primary practice located at 8106 E Champions St , Wichita KS 67226-3324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Young, John Vincent can be contacted via phone (410) 336-6773.Contact Information
Primary practice address
8106 E Champions St
Wichita KS 67226-3324
Phone: (410) 336-6773
Fax: (410) 427-5511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 435332 | Kansas |
Profile Details
| NPI number | 1972663946 |
|---|---|
| LBN Legal business name | Young, John Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Feb 20th, 2014 - about 11 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 | 1972663946 | NPPES |
| Kansas | Other | P01024270 | RR MEDICARE |
| Kansas | MEDICAID | 113621 | RR MEDICARE |
| Kansas | MEDICAID | 200750860A | RR MEDICARE |
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