Youngstrom, Carl
Youngstrom, Carl is an sole proprietor health care provider with primary practice located at 3911 Castlevale Rd Suite 105, Yakima WA 98902-7807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Youngstrom, Carl can be contacted via phone (509) 575-7652.Contact Information
Primary practice address
3911 Castlevale Rd Suite 105
Yakima WA 98902-7807
Phone: (509) 575-7652
Fax: (509) 575-3658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00014591 | Washington |
Profile Details
| NPI number | 1780772434 |
|---|---|
| LBN Legal business name | Youngstrom, Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| 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 | 1780772434 | NPPES |
| Washington | MEDICAID | 7017049 |
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