Young, Timothy P

Young, Timothy P is an sole proprietor health care provider with primary practice located at 70 Butler St. , Salem NH 03079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Young, Timothy P can be contacted via phone (603) 893-2900.

Contact Information

Primary practice address
70 Butler St. Salem NH 03079
Fax: (603) 893-1628
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 200600824 North Carolina
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD436939 Pennsylvania

Profile Details

NPI number 1265454664
LBN Legal business name Young, Timothy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jan 12th, 2023 - about last year

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 1265454664 NPPES
Pennsylvania MEDICAID 1023289300001
Pennsylvania Other 1423K
Pennsylvania MEDICAID 5904301
Pennsylvania MEDICAID N0082B
Pennsylvania MEDICAID 0203238

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