Youngberg, Dean I
Youngberg, Dean I is an sole proprietor health care provider with primary practice located at 1035 N Emporia St Suite 220, Wichita KS 67214-2944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Youngberg, Dean I can be contacted via phone (316) 268-6075.Contact Information
Primary practice address
1035 N Emporia St Suite 220
Wichita KS 67214-2944
Phone: (316) 268-6075
Fax: (316) 291-7977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15539 | Kansas |
Profile Details
| NPI number | 1295725489 |
|---|---|
| LBN Legal business name | Youngberg, Dean I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Feb 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295725489 | NPPES |
| Kansas | MEDICAID | 100092960A |
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