'Young C Fan Md' in Titusville - Specialist
'Young C Fan Md' - NPI 1073585741
'Young C Fan Md' is a Specialist in Titusville, Pennsylvania. 'Young C Fan Md' practices all healthcare services and medical treatments related to Specialist. The NPI Number for 'Young C Fan Md' is 1073585741. The last update date is 2020-08-22.
'Young C Fan Md''s current location address is 119 E Mechanic St, Titusville, Pennsylvania. You can contact this provider via phone number 8148274602 and fax number 8148276322. The mailing address for 'Young C Fan Md' is 119 E Mechanic St, Titusville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 'Young C Fan Md' |
|---|---|
| Address | 119 E Mechanic St, Titusville, Pennsylvania |
| Phone Number | 8148274602 |
| Fax Number | 8148276322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fan C Young |
| Credentials | M.D. |
| Telephone Number | 8148274602 |
NPI Number Detail
| NPI Number | 1073585741 |
|---|---|
| Provider Enumeration Date | 2006-02-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 119 E Mechanic St |
|---|---|
| City | Titusville |
| State | Pennsylvania (PA) |
| Post Code | 163542161 |
| Phone Number | 8148274602 |
| Fax Number | 8148276322 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD033897L |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6010740001 | PA | -- | |
| 32140 | PA | PENNSYLVANIA BLUE SHIELD |
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What is the unique provider identifier assigned to 'Young C Fan Md'?
The 'Young C Fan Md' has been issued the NPI (National Provider Identifier) 1073585741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the 'Young C Fan Md' located?
The 'Young C Fan Md' is located at 119 E Mechanic St, Titusville, PA 163542161.
What is the 'Young C Fan Md''s area of specialization and corresponding taxonomy classification?
The 'Young C Fan Md''s specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did 'Young C Fan Md' receive its 1073585741 assignment?
The 'Young C Fan Md' was assigned its 1073585741 on 2006-02-06, which is the date when this unique identifier was issued to the organization.
When was the 'Young C Fan Md''s information last updated?
The 'Young C Fan Md''s information was last updated on 2020-08-22.
NPI Number: 1215930425
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