Young, Jeffry James
Young, Jeffry James is an individual health care provider with primary practice located at 1160 Kepler Dr , Green Bay WI 54311-8321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Young, Jeffry James can be contacted via phone (920) 288-5500.Contact Information
Primary practice address
1160 Kepler Dr
Green Bay WI 54311-8321
Phone: (920) 288-5500
Fax: (920) 288-5510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31970 | Wisconsin |
Profile Details
| NPI number | 1114946712 |
|---|---|
| LBN Legal business name | Young, Jeffry James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Nov 24th, 2021 - about 5 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 | 1114946712 | NPPES |
| Wisconsin | MEDICAID | 30049900 |
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