Young, Douglas Trent

Young, Douglas Trent is an individual health care provider with primary practice located at 2845 Siena Heights Dr , Henderson NV 89052-4153. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Young, Douglas Trent can be contacted via phone (702) 617-1227.

Contact Information

Primary practice address
2845 Siena Heights Dr Henderson NV 89052-4153
Phone: (702) 617-1227
Fax: (702) 492-1589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA636 Nevada

Profile Details

NPI number 1003889577
LBN Legal business name Young, Douglas Trent
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Feb 14th, 2014 - about 12 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 1003889577 NPPES
Nevada MEDICAID 002402368
Nevada MEDICAID 1003889577

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