Provider Demographics
NPI:1184659278
Name:YOUNG, STEVEN P (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:P
Last Name:YOUNG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7969 HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:BEN LOMOND
Mailing Address - State:CA
Mailing Address - Zip Code:95005-9703
Mailing Address - Country:US
Mailing Address - Phone:831-336-8682
Mailing Address - Fax:831-336-1917
Practice Address - Street 1:7969 HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:BEN LOMOND
Practice Address - State:CA
Practice Address - Zip Code:95005-9703
Practice Address - Country:US
Practice Address - Phone:831-336-8682
Practice Address - Fax:831-336-1917
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 13910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor