Young, Vincent K

Young, Vincent K is an individual health care provider with primary practice located at 5401 Old York Rd Klein 205, Philadelphia PA 19141-3030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Young, Vincent K can be contacted via phone (215) 456-7150.

Contact Information

Primary practice address
5401 Old York Rd Klein 205 Philadelphia PA 19141-3030
Fax: (215) 456-2379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD035544E Pennsylvania

Profile Details

NPI number 1841255882
LBN Legal business name Young, Vincent K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Aug 1st, 2012 - 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 1841255882 NPPES
Pennsylvania Other 402352 BLUE SHIELD
Pennsylvania MEDICAID 001093158 BLUE SHIELD

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