Young, Gavin S

Young, Gavin S is an individual health care provider with primary practice located at 1919 Lincoln Way Suite 415, Coeur D Alene ID 83814-2527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Young, Gavin S can be contacted via phone (208) 625-4595.

Contact Information

Primary practice address
1919 Lincoln Way Suite 415 Coeur D Alene ID 83814-2527
Phone: (208) 625-4595
Fax: (208) 625-4596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X M7978 Idaho

Profile Details

NPI number 1629147103
LBN Legal business name Young, Gavin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Oct 6th, 2016 - about 9 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 1629147103 NPPES
Idaho MEDICAID 805774200

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