Youth, Brian

Youth, Brian is an individual health care provider with primary practice located at 347 Main St. , Gorham ME 04038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Youth, Brian can be contacted via phone (207) 839-2521.

Contact Information

Primary practice address
347 Main St. Gorham ME 04038
Phone: (207) 839-2521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 014237 Maine

Profile Details

NPI number 1528153830
LBN Legal business name Youth, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1528153830 NPPES
Maine MEDICAID 335100099

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