Young, Johnny Shan

Young, Johnny Shan is an sole proprietor health care provider with primary practice located at 409 E 10Th St Ste 300 , Anniston AL 36207-4781. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Young, Johnny Shan can be contacted via phone (256) 435-1399.

Contact Information

Primary practice address
409 E 10Th St Ste 300 Anniston AL 36207-4781
Fax: (256) 435-1911
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15920 Alabama

Profile Details

NPI number 1508830340
LBN Legal business name Young, Johnny Shan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2006
Last updated Mar 29th, 2018 - about 6 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 1508830340 NPPES
Alabama MEDICAID 00083944
Alabama Other 83944

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