Young, Vassilia D
Young, Vassilia D is an individual health care provider with primary practice located at 7236 Jordan Dr Ste 101 , Rapid City SD 57702-8740. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Young, Vassilia D can be contacted via phone (605) 341-5565.Contact Information
Primary practice address
7236 Jordan Dr Ste 101
Rapid City SD 57702-8740
Phone: (605) 341-5565
Fax: (605) 341-5595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4069 | South Dakota |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 4069 | South Dakota |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 4069 | South Dakota |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 4069 | South Dakota |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 4069 | South Dakota |
Profile Details
| NPI number | 1750353389 |
|---|---|
| LBN Legal business name | Young, Vassilia D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jan 15th, 2016 - about 9 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 | 1750353389 | NPPES |
| Wyoming | MEDICAID | 116997100 | |
| Wyoming | MEDICAID | 5900103 | |
| Wyoming | Other | 0040886 | |
| Wyoming | Other | 460461314 | |
| Wyoming | Other | 311267 | |
| Wyoming | MEDICAID | 46046131400 |
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