Provider Demographics
NPI:1891913687
Name:YOUNG W. RHEE, M.D.
Entity Type:Organization
Organization Name:YOUNG W. RHEE, M.D.
Other - Org Name:LIFE MANAGEMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUNG
Authorized Official - Middle Name:W
Authorized Official - Last Name:RHEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-224-1122
Mailing Address - Street 1:915 W MARKET ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805
Mailing Address - Country:US
Mailing Address - Phone:419-224-1121
Mailing Address - Fax:419-224-1121
Practice Address - Street 1:915 W MARKET ST
Practice Address - Street 2:SUITE D
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805
Practice Address - Country:US
Practice Address - Phone:419-224-1121
Practice Address - Fax:419-224-1121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35040806R2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0374876Medicaid
OH0374876Medicaid