Young, Jeffery Danny
Young, Jeffery Danny is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Young, Jeffery Danny can be contacted via phone (802) 847-0000.Contact Information
Primary practice address
111 Colchester Ave
Burlington VT 05401-1473
Phone: (802) 847-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 53520 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 105029 | Minnesota |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 042.0012718 | Vermont |
Profile Details
| NPI number | 1063654044 |
|---|---|
| LBN Legal business name | Young, Jeffery Danny |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2009 |
| Last updated | Jul 29th, 2013 - about 13 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 | 1063654044 | NPPES |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | Other | P0886903 |
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