Young, Constance L
Young, Constance L is an individual health care provider with primary practice located at 527 Benham St , Bonne Terre MO 63628-1205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Young, Constance L can be contacted via phone (573) 358-9119.Contact Information
Primary practice address
527 Benham St
Bonne Terre MO 63628-1205
Phone: (573) 358-9119
Fax: (573) 358-9489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 076265 | Missouri |
Profile Details
| NPI number | 1891767125 |
|---|---|
| LBN Legal business name | Young, Constance L |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jun 29th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891767125 | NPPES |
| Missouri | MEDICAID | 428318000 |
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