Young, Peter S

Young, Peter S is an individual health care provider with primary practice located at 10815 W Mcdowell Rd Ste 305 , Avondale AZ 85392-5016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Young, Peter S can be contacted via phone (623) 936-3312.

Contact Information

Primary practice address
10815 W Mcdowell Rd Ste 305 Avondale AZ 85392-5016
Phone: (623) 936-3312
Fax: (623) 936-4248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26395 Arizona

Profile Details

NPI number 1376543108
LBN Legal business name Young, Peter S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Apr 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376543108 NPPES
Other 110222436 RAILROAD MEDICARE

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