Young, Mark Loyal

Young, Mark Loyal is an individual health care provider with primary practice located at 2828 Chicago Avenue Suite 200, Minneapolis MN 55407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Young, Mark Loyal can be contacted via phone (612) 879-1000.

Contact Information

Primary practice address
2828 Chicago Avenue Suite 200 Minneapolis MN 55407
Phone: (612) 879-1000
Fax: (612) 879-9116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 36767 Minnesota

Profile Details

NPI number 1831197326
LBN Legal business name Young, Mark Loyal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated May 17th, 2016 - about 10 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 1831197326 NPPES
Iowa MEDICAID 0065391
Iowa Other 40407

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