Young, Steven R
Young, Steven R is an individual health care provider with primary practice located at 411 30Th Street Ste 512, Oakland CA 94609-3303. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Young, Steven R can be contacted via phone (510) 836-2123.Contact Information
Primary practice address
411 30Th Street Ste 512
Oakland CA 94609-3303
Phone: (510) 836-2123
Fax: (510) 836-0383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ocularist | 156FX1700X |
Profile Details
| NPI number | 1154498723 |
|---|---|
| LBN Legal business name | Young, Steven R |
| Credentials | BCO BOARD CERTIFIED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Dec 3rd, 2007 - about 17 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 | 1154498723 | NPPES |
| California | MEDICAID | ZZZ76594Z |
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