Young, Fredric D

Young, Fredric D is an individual health care provider with primary practice located at 1646 45Th Ave , Munster IN 46321-3914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Young, Fredric D can be contacted via phone (219) 924-3700.

Contact Information

Primary practice address
1646 45Th Ave Munster IN 46321-3914
Phone: (219) 924-3700
Fax: (219) 924-3712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 24515 Indiana

Profile Details

NPI number 1144322249
LBN Legal business name Young, Fredric D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 16th, 2008 - 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 1144322249 NPPES
Indiana MEDICAID 100197080A

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