Young, Robert S
Young, Robert S is an individual health care provider with primary practice located at 4820 E Main St , Farmington NM 87402-8660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Young, Robert S can be contacted via phone (505) 609-6495.Contact Information
Primary practice address
4820 E Main St
Farmington NM 87402-8660
Phone: (505) 609-6495
Fax: (505) 609-6496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 95-165 | New Mexico |
Profile Details
| NPI number | 1023043338 |
|---|---|
| LBN Legal business name | Young, Robert S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Aug 6th, 2010 - about 15 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 | 1023043338 | NPPES |
| New Mexico | MEDICAID | 000R7247 |
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