Young, Philip Eugene
Young, Philip Eugene is an individual health care provider with primary practice located at 4919 Douglas Ave Suite 10, Des Moines IA 50310-2775. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Young, Philip Eugene can be contacted via phone (515) 278-2010.Contact Information
Primary practice address
4919 Douglas Ave Suite 10
Des Moines IA 50310-2775
Phone: (515) 278-2010
Fax: (515) 278-1944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6467 | Iowa |
Profile Details
| NPI number | 1679602825 |
|---|---|
| LBN Legal business name | Young, Philip Eugene |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1679602825 | NPPES |
| Iowa | MEDICAID | 0223354 |
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