Young, Daniel
Young, Daniel is an sole proprietor health care provider with primary practice located at 2700 National Dr Ste 102 , Onalaska WI 54650-6709. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Young, Daniel can be contacted via phone (608) 783-3636.Contact Information
Primary practice address
2700 National Dr Ste 102
Onalaska WI 54650-6709
Phone: (608) 783-3636
Fax: (608) 783-3639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 1001778-15 | Wisconsin |
Profile Details
| NPI number | 1083870232 |
|---|---|
| LBN Legal business name | Young, Daniel |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2008 |
| Last updated | Aug 28th, 2019 - about 7 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 | 1083870232 | NPPES |
| Colorado | MEDICAID | 51557703 |
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