Young, Elaine M
Young, Elaine M is an sole proprietor health care provider with primary practice located at 1411 6Th Ave , Huntington WV 25701-2420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Young, Elaine M can be contacted via phone (304) 525-6132.Contact Information
Primary practice address
1411 6Th Ave
Huntington WV 25701-2420
Phone: (304) 525-6132
Fax: (304) 697-0471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 16077 | West Virginia |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 21723 | South Carolina |
Profile Details
| NPI number | 1376528356 |
|---|---|
| LBN Legal business name | Young, Elaine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Jan 11th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376528356 | NPPES |
| West Virginia | MEDICAID | 0069955000 | |
| West Virginia | Other | 001721516 | |
| West Virginia | Other | 550724241 |
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