Young, Roger

Young, Roger is an sole proprietor health care provider with primary practice located at 3325 Grosbeak Ct , Davis CA 95616-7511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Young, Roger can be contacted via phone (916) 704-8770.

Contact Information

Primary practice address
3325 Grosbeak Ct Davis CA 95616-7511
Phone: (916) 704-8770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2020-0253 New Mexico
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 13658C Wyoming
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X G61175 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD214143 Oregon

Profile Details

NPI number 1952480683
LBN Legal business name Young, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Feb 10th, 2023 - about 2 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 1952480683 NPPES
California MEDICAID 00G611750

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