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Individual

ELAINE M YOUNG

Active
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Individual

ELAINE M YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
16077
WV
207N00000X
Dermatology Physician
21723
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001721516
BLUE CROSS BLUE SHIELD
05
0069955000
WV
01
550724241
COMMERCIAL INSURANCE
Enumeration date
12/13/2005
Last updated
01/11/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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