National Provider Identifier Database

DR MARK CONDRON YOUNG
Professional


Contact Information

DR. MARK CONDRON YOUNG
111 KILSON DR.
SUITE 205
MOORESVILLE, NC28117
Phone: 704-799-0105
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for DR. MARK CONDRON YOUNG

NPI Number 1063427870
Legal business name
LBN
DR. MARK CONDRON YOUNG
Authorized official MARK YOUNG - (SOLE PROPRIETOR)
Entity Organization
Organization subpart No
Enumeration date 07/30/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 5255

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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