Young, Thomas

Young, Thomas is an individual health care provider with primary practice located at 1150 Ross Clark Cir , Dothan AL 36301-3022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Young, Thomas can be contacted via phone (334) 712-1929.

Contact Information

Primary practice address
1150 Ross Clark Cir Dothan AL 36301-3022
Phone: (334) 712-1929
Fax: (334) 712-2799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16584 Alabama

Profile Details

NPI number 1083694665
LBN Legal business name Young, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Feb 3rd, 2011 - about 13 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 1083694665 NPPES
Florida MEDICAID 370489100
Florida MEDICAID 370489101
Florida Other 051088715
Florida MEDICAID 370489102
Florida MEDICAID 000088715
Florida Other 051540112
Florida MEDICAID 00505689B
Florida Other 61700
Florida Other 631087996
Florida MEDICAID 009942275
Florida Other 051055300
Florida Other 051095000

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