Young, Martin S

Young, Martin S is an individual health care provider with primary practice located at 241 Ockley Dr , Shreveport LA 71105-3024. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Young, Martin S can be contacted via phone (318) 617-4194.

Contact Information

Primary practice address
241 Ockley Dr Shreveport LA 71105-3024
Phone: (318) 617-4194
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1040277 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-381 Louisiana

Profile Details

NPI number 1407854367
LBN Legal business name Young, Martin S
Credentials L.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Nov 12th, 2019 - about 5 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 1407854367 NPPES
Texas MEDICAID 1093213-01

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