Young, Michael David

Young, Michael David is an individual health care provider with primary practice located at 303 E Main St , Cottage Grove OR 97424-2032. 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, Michael David can be contacted via phone (541) 767-2750.

Contact Information

Primary practice address
303 E Main St Cottage Grove OR 97424-2032
Phone: (541) 767-2750
Fax: (541) 767-2751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4978 Oregon

Profile Details

NPI number 1154302099
LBN Legal business name Young, Michael David
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 19th, 2013 - about 11 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 1154302099 NPPES
Oregon MEDICAID 264924

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