Young, Mark R.
Young, Mark R. is an individual health care provider with primary practice located at 1500 S 48Th St Ste 610 , Lincoln NE 68506-1200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Young, Mark R. can be contacted via phone (402) 493-3712.Contact Information
Primary practice address
1500 S 48Th St Ste 610
Lincoln NE 68506-1200
Phone: (402) 493-3712
Fax: (402) 493-8341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 21253 | Nebraska |
Profile Details
| NPI number | 1093790834 |
|---|---|
| LBN Legal business name | Young, Mark R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Dec 20th, 2011 - about 13 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 | 1093790834 | NPPES |
| Other | 1103 | BCBS | |
| MEDICAID | 47082854000 | BCBS |
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