Young, Roger Charles

Young, Roger Charles is an individual health care provider with primary practice located at 853 Jefferson Ave E160, Memphis TN 38103-2807. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Young, Roger Charles can be contacted via phone (901) 448-1509.

Contact Information

Primary practice address
853 Jefferson Ave E160 Memphis TN 38103-2807
Phone: (901) 448-1509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0420011205 Vermont
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 49929 Tennessee

Profile Details

NPI number 1114036027
LBN Legal business name Young, Roger Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 18th, 2014 - about 12 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 1114036027 NPPES
Mississippi MEDICAID 9202025
Mississippi MEDICAID 1532794
Mississippi MEDICAID 198892001

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