Youngblood, John

Youngblood, John is an sole proprietor health care provider with primary practice located at 452 W Market St , Xenia OH 45385-2815. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Youngblood, John can be contacted via phone (937) 376-8700.

Contact Information

Primary practice address
452 W Market St Xenia OH 45385-2815
Phone: (937) 376-8700
Fax: (937) 376-8725
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 902827 Ohio

Profile Details

NPI number 1073693727
LBN Legal business name Youngblood, John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - 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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