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Individual

JAMES YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4101
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-07-7536
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000271423
ANTHEM
OH
01
000000372952
ANTHEM
OH
05
2240373
OH
01
341960760045
CARESOURCE
OH
01
727143
BCHP
OH
05
810547599062
OH
Enumeration date
04/10/2006
Last updated
11/13/2008
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