Young, Michael Clarence

Young, Michael Clarence is an individual health care provider with primary practice located at 301 Hale Ave , Prescott AR 71857-3330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Young, Michael Clarence can be contacted via phone (870) 887-6651.

Contact Information

Primary practice address
301 Hale Ave Prescott AR 71857-3330
Phone: (870) 887-6651
Fax: (870) 887-2008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X C4873 Arkansas

Profile Details

NPI number 1124026836
LBN Legal business name Young, Michael Clarence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 8th, 2009 - 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 1124026836 NPPES
Arkansas Other 127720000 QUAL CHOICE
Arkansas Other 080043829 QUAL CHOICE
Arkansas MEDICAID 1124026836 QUAL CHOICE

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