Mount, Martha Young
Mount, Martha Young is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston Salem NC 27103-3013. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mount, Martha Young can be contacted via phone (336) 718-7041.Contact Information
Primary practice address
3333 Silas Creek Pkwy
Winston Salem NC 27103-3013
Phone: (336) 718-7041
Fax: (336) 718-9622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 103638 | North Carolina |
Profile Details
| NPI number | 1750351664 |
|---|---|
| LBN Legal business name | Mount, Martha Young |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Mar 5th, 2024 - about 8 months 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 | 1750351664 | NPPES |
| North Carolina | MEDICAID | 8101664 |
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