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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376543108 | NPPES |
| Other | 110222436 | RAILROAD MEDICARE |
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