Young, Robert J
Young, Robert J is an individual health care provider with primary practice located at 3698 S Main St , Blacksburg VA 24060-7015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Young, Robert J can be contacted via phone (540) 951-7880.Contact Information
Primary practice address
3698 S Main St
Blacksburg VA 24060-7015
Phone: (540) 951-7880
Fax: (540) 951-3106
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 0101050317 | Virginia |
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 0101-050317 | Virginia |
Profile Details
NPI number | 1053392399 |
---|---|
LBN Legal business name | Young, Robert J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 11th, 2005 |
Last updated | Jul 20th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053392399 | NPPES |
Virginia | MEDICAID | 010166845 |
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