Young, Robert R

Young, Robert R is an individual health care provider with primary practice located at 700 24Th Ave Nw , Norman OK 73069-6232. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Young, Robert R can be contacted via phone (405) 364-0555.

Contact Information

Primary practice address
700 24Th Ave Nw Norman OK 73069-6232
Phone: (405) 364-0555
Fax: (405) 573-5483
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1245 Colorado

Profile Details

NPI number 1730139015
LBN Legal business name Young, Robert R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 8th, 2014 - about 12 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 1730139015 NPPES
Colorado MEDICAID 52486265
Colorado Other 970014182

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