Young, Jerald Martin

Young, Jerald Martin is an individual health care provider with primary practice located at 1501 East 3Rd Street Delta County Memorial Hospital, Delta CO 81416. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Young, Jerald Martin can be contacted via phone (970) 874-7681.

Contact Information

Primary practice address
1501 East 3Rd Street Delta County Memorial Hospital Delta CO 81416
Phone: (970) 874-7681
Fax: (970) 874-2227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 75028 Colorado

Profile Details

NPI number 1528190238
LBN Legal business name Young, Jerald Martin
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Feb 28th, 2008 - about 18 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 1528190238 NPPES
Colorado Other 412036143001 HMO
Colorado MEDICAID 04017554 HMO

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