Young, Thomas A
Young, Thomas A is an sole proprietor health care provider with primary practice located at 211 E Havens St , Mitchell SD 57301-4402. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Young, Thomas A can be contacted via phone (605) 996-4671.Contact Information
Primary practice address
211 E Havens St
Mitchell SD 57301-4402
Phone: (605) 996-4671
Fax: (605) 996-4671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 451 | South Dakota |
Profile Details
| NPI number | 1417964792 |
|---|---|
| LBN Legal business name | Young, Thomas A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Oct 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417964792 | NPPES |
| South Dakota | Other | P00849313 | RAILROAD MEDICARE |
| South Dakota | Other | 0076548 | RAILROAD MEDICARE |
| South Dakota | Other | 0530030001 | RAILROAD MEDICARE |
| South Dakota | Other | 4266 | RAILROAD MEDICARE |
| South Dakota | MEDICAID | 9201890 | RAILROAD MEDICARE |
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