Young, Charley
Young, Charley is an sole proprietor health care provider with primary practice located at 1118 State St Apt H , Quincy IL 62301-4900. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Young, Charley can be contacted via phone (701) 261-0822.Contact Information
Primary practice address
1118 State St Apt H
Quincy IL 62301-4900
Phone: (701) 261-0822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096.003691 | Illinois |
Profile Details
| NPI number | 1700284759 |
|---|---|
| LBN Legal business name | Young, Charley |
| Credentials | MS,ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2014 |
| Last updated | Dec 8th, 2014 - 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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