Young, James Olin
Young, James Olin is an sole proprietor health care provider with primary practice located at 4900 Mercer University Dr , Macon GA 31210-6239. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Young, James Olin can be contacted via phone (478) 474-5678.Contact Information
Primary practice address
4900 Mercer University Dr
Macon GA 31210-6239
Phone: (478) 474-5678
Fax: (478) 474-5018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | CP002910 | Georgia |
Profile Details
| NPI number | 1750377578 |
|---|---|
| LBN Legal business name | Young, James Olin |
| Credentials | C.P.,F.A.A.O.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Dec 10th, 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 | 1750377578 | NPPES |
| Georgia | MEDICAID | 408774069A | |
| Georgia | Other | 610057500 |
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