Young, Mariella M
Young, Mariella M is an sole proprietor health care provider with primary practice located at 6137 Executive Blvd , Rockville MD 20852-3901. She recently has 6 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Sports Physician, Chiropractic Providers / Occupational Health, Chiropractic Providers / Orthopedic. Chiropractic Providers / Rehabilitation is her primary health care specialty. Young, Mariella M can be contacted via phone (301) 770-9601.Contact Information
Primary practice address
6137 Executive Blvd
Rockville MD 20852-3901
Phone: (301) 770-9601
Fax: (301) 770-9540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 01979 | Maryland |
| Chiropractic Providers / Chiropractor | 111N00000X | 0104555714 | Virginia |
| Chiropractic Providers / Neurology | 111NN0400X | 01979 | Maryland |
| Chiropractic Providers / Neurology | 111NN0400X | 0104555714 | Virginia |
| Chiropractic Providers / Rehabilitation | 111NR0400X | 01979 | Maryland |
| Chiropractic Providers / Rehabilitation | 111NR0400X | 0104555714 | Virginia |
| Chiropractic Providers / Sports Physician | 111NS0005X | 01979 | Maryland |
| Chiropractic Providers / Sports Physician | 111NS0005X | 0104555714 | Virginia |
| Chiropractic Providers / Occupational Health | 111NX0100X | 01979 | Maryland |
| Chiropractic Providers / Occupational Health | 111NX0100X | 0104555714 | Virginia |
| Chiropractic Providers / Orthopedic | 111NX0800X | 01979 | Maryland |
| Chiropractic Providers / Orthopedic | 111NX0800X | 0104555714 | Virginia |
Profile Details
| NPI number | 1043421563 |
|---|---|
| LBN Legal business name | Young, Mariella M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2007 |
| Last updated | Mar 3rd, 2008 - about 16 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 | 1043421563 | NPPES |
| Maryland | Other | 10419449 | CAQH |
| Maryland | Other | F759-0001 | CAQH |
| Maryland | Other | 617767 | CAQH |
| Maryland | Other | M655-0001 | CAQH |
| Maryland | Other | 478024 | CAQH |
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