Young, Laura P

Young, Laura P is an sole proprietor health care provider with primary practice located at 2301 S Lamar Blvd , Oxford MS 38655-5373. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Young, Laura P can be contacted via phone (662) 232-8568.

Contact Information

Primary practice address
2301 S Lamar Blvd Oxford MS 38655-5373
Fax: (662) 513-1450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 14981 Mississippi

Profile Details

NPI number 1104919513
LBN Legal business name Young, Laura P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2006
Last updated May 26th, 2010 - about 15 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 1104919513 NPPES
Mississippi Other 36-4373044 EMPLOYER ID #
Mississippi MEDICAID 116108 EMPLOYER ID #

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