Young, Mark Alan
Young, Mark Alan is an sole proprietor health care provider with primary practice located at 496 Longfellow Ave , Kirkwood MO 63122-3829. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Young, Mark Alan can be contacted via phone (314) 540-3526.Contact Information
Primary practice address
496 Longfellow Ave
Kirkwood MO 63122-3829
Phone: (314) 540-3526
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
NPI number | 1134433907 |
---|---|
LBN Legal business name | Young, Mark Alan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 3rd, 2010 |
Last updated | Aug 3rd, 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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