Young, Richard W

Young, Richard W is an individual health care provider with primary practice located at 823 82Nd Pkwy , Myrtle Beach SC 29572-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Young, Richard W can be contacted via phone (843) 449-1010.

Contact Information

Primary practice address
823 82Nd Pkwy Myrtle Beach SC 29572-4607
Fax: (843) 497-6171
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD16508 South Carolina

Profile Details

NPI number 1518948587
LBN Legal business name Young, Richard W
Credentials DR
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Dec 29th, 2016 - about 8 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 1518948587 NPPES
South Carolina Other 340011956 RAILROAD MEDICARE
South Carolina Other P00360569 RAILROAD MEDICARE
South Carolina MEDICAID 165083 RAILROAD MEDICARE
South Carolina Other 773672 RAILROAD MEDICARE
South Carolina MEDICAID 890562Q RAILROAD MEDICARE
South Carolina MEDICAID GP1418 RAILROAD MEDICARE
South Carolina MEDICAID GP4522 RAILROAD MEDICARE

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