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
Phone: (256) 435-1399
Fax: (256) 435-1911
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508830340 | NPPES |
| Alabama | MEDICAID | 00083944 | |
| Alabama | Other | 83944 |
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