Young, Josiah W.
Young, Josiah W. is an sole proprietor health care provider with primary practice located at 2220 Grandview Dr Ste 120 , Fort Mitchell KY 41017-1691. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Young, Josiah W. can be contacted via phone (859) 578-0393.Contact Information
Primary practice address
2220 Grandview Dr Ste 120
Fort Mitchell KY 41017-1691
Phone: (859) 578-0393
Fax: (859) 815-8896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1771 | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5910 | Ohio |
Profile Details
| NPI number | 1679711675 |
|---|---|
| LBN Legal business name | Young, Josiah W. |
| Credentials | O.D.,M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2009 |
| Last updated | Jan 24th, 2020 - about 4 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 | 1679711675 | NPPES |
| Kentucky | MEDICAID | 7100087640 |
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