Young, Alton

Young, Alton is an individual health care provider with primary practice located at 2430 W Pierce St , Carlsbad NM 88220-3553. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Young, Alton can be contacted via phone (575) 887-4100.

Contact Information

Primary practice address
2430 W Pierce St Carlsbad NM 88220-3553
Phone: (575) 887-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R55383 New Mexico

Profile Details

NPI number 1619933926
LBN Legal business name Young, Alton
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619933926 NPPES
New Mexico MEDICAID 53130243

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