Young, Thomas
Young, Thomas is an individual health care provider with primary practice located at 16792 Conneaut Lake Rd , Meadville PA 16335-3748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Young, Thomas can be contacted via phone (814) 373-2335.Contact Information
Primary practice address
16792 Conneaut Lake Rd
Meadville PA 16335-3748
Phone: (814) 373-2335
Fax: (814) 373-2338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | DR49094 | Colorado |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 29292 | Kentucky |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD039841E | Pennsylvania |
Profile Details
| NPI number | 1255337259 |
|---|---|
| LBN Legal business name | Young, Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Mar 30th, 2018 - about 8 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 | 1255337259 | NPPES |
| Kentucky | Other | 50006869 | PASSPORT |
| Kentucky | MEDICAID | 64000920 | PASSPORT |
| Kentucky | MEDICAID | 13802780 | PASSPORT |
| Kentucky | Other | 830000259 | PASSPORT |
| Kentucky | MEDICAID | 1255337259 | PASSPORT |
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