Young, Richard O

Young, Richard O is an individual health care provider with primary practice located at 500 Hospital Dr , Madison TN 37115-5031. 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, Richard O can be contacted via phone (615) 865-0300.

Contact Information

Primary practice address
500 Hospital Dr Madison TN 37115-5031
Phone: (615) 865-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 10568 Tennessee

Profile Details

NPI number 1881663128
LBN Legal business name Young, Richard O
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 12th, 2010 - about 16 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 1881663128 NPPES
Kentucky Other 700001100 KY MEDICAID
Kentucky Other 10069699 KY MEDICAID
Kentucky MEDICAID 3602191 KY MEDICAID
Kentucky Other 4130656 KY MEDICAID

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