Young, Rodney Bert
Young, Rodney Bert is an individual health care provider with primary practice located at 2801 Tricom St , North Charleston SC 29406-9172. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Young, Rodney Bert can be contacted via phone (843) 797-5252.Contact Information
Primary practice address
2801 Tricom St
North Charleston SC 29406-9172
Phone: (843) 797-5252
Fax: (843) 797-3683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 11077 | South Carolina |
Profile Details
| NPI number | 1083663371 |
|---|---|
| LBN Legal business name | Young, Rodney Bert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Feb 7th, 2008 - about 16 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 | 1083663371 | NPPES |
| South Carolina | MEDICAID | 110775 |
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