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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1053392399 NPPES
Virginia MEDICAID 010166845

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