Young, William Daniel

Young, William Daniel is an sole proprietor health care provider with primary practice located at 940 Matthew Dr Ste 7 , Waynesboro MS 39367. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Young, William Daniel can be contacted via phone (601) 735-0077.

Contact Information

Primary practice address
940 Matthew Dr Ste 7 Waynesboro MS 39367
Fax: (601) 735-3937
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04733 Mississippi

Profile Details

NPI number 1396832150
LBN Legal business name Young, William Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jun 20th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396832150 NPPES
Mississippi MEDICAID 00111416

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