Young, Leann B

Young, Leann B is an individual health care provider with primary practice located at 8600 N Route 91 Suite 130, Peoria IL 61615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Young, Leann B can be contacted via phone (309) 683-5059.

Contact Information

Primary practice address
8600 N Route 91 Suite 130 Peoria IL 61615
Phone: (309) 683-5059
Fax: (309) 683-5446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085001383 Illinois

Profile Details

NPI number 1104835768
LBN Legal business name Young, Leann B
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Aug 19th, 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 1104835768 NPPES
Illinois Other 920006568 RAILROAD MEDICARE
Illinois Other P00608470 RAILROAD MEDICARE
Illinois Other 434110 RAILROAD MEDICARE
Illinois Other CA4079 RAILROAD MEDICARE

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