Young, Deborah Lynn
Young, Deborah Lynn is an individual health care provider with primary practice located at N2950 State Road 67 , Lake Geneva WI 53147-2655. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Young, Deborah Lynn can be contacted via phone (262) 245-0535.Contact Information
Primary practice address
N2950 State Road 67
Lake Geneva WI 53147-2655
Phone: (262) 245-0535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 143335-30 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7664-33 | Wisconsin |
Profile Details
| NPI number | 1730615030 |
|---|---|
| LBN Legal business name | Young, Deborah Lynn |
| Credentials | APRN, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2017 |
| Last updated | Dec 3rd, 2018 - about 8 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 | 1730615030 | NPPES |
| Wisconsin | Other | 1730615030 | BCBSWI |
| Wisconsin | Other | APPROVED | BCBSWI |
| Wisconsin | Other | F400420519 | BCBSWI |
| Wisconsin | MEDICAID | 1730615030 | BCBSWI |
| Wisconsin | Other | K400399977 | BCBSWI |
| Wisconsin | Other | 700332 | BCBSWI |
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