Young, Charles C

Young, Charles C is an sole proprietor health care provider with primary practice located at 5055 Seminary Road Suite 109, Alexandria VA 22311-2026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Young, Charles C can be contacted via phone (703) 931-5635.

Contact Information

Primary practice address
5055 Seminary Road Suite 109 Alexandria VA 22311-2026
Phone: (703) 931-5635
Fax: (703) 931-6972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101042684 Virginia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X D0042666 Maryland

Profile Details

NPI number 1518928977
LBN Legal business name Young, Charles C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Sep 19th, 2013 - about 12 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 1518928977 NPPES
Virginia MEDICAID 6830315
Virginia MEDICAID 190061700

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