Young, Rei Jackson

Young, Rei Jackson is an individual health care provider with primary practice located at 2 Medical Plaza Dr Suite 130, Roseville CA 95661-3043. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Young, Rei Jackson can be contacted via phone (916) 865-1400.

Contact Information

Primary practice address
2 Medical Plaza Dr Suite 130 Roseville CA 95661-3043
Phone: (916) 865-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A9951 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A9951 California

Profile Details

NPI number 1639381882
LBN Legal business name Young, Rei Jackson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Sep 8th, 2015 - about 9 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 1639381882 NPPES
California MEDICAID 1639381882

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