Young, Frederick
Young, Frederick is an individual health care provider with primary practice located at 100 Centerton Rd , Mount Laurel NJ 08054-6103. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Young, Frederick can be contacted via phone (856) 359-3654.Contact Information
Primary practice address
100 Centerton Rd
Mount Laurel NJ 08054-6103
Phone: (856) 359-3654
Fax: (856) 359-3680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00554300 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG001612 | Pennsylvania |
Profile Details
| NPI number | 1457357717 |
|---|---|
| LBN Legal business name | Young, Frederick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Aug 23rd, 2010 - about 16 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 | 1457357717 | NPPES |
| New Jersey | MEDICAID | 7916604 |
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