Youlden, Eric Jay
Youlden, Eric Jay is an individual health care provider with primary practice located at 404 W Fountain St , Albert Lea MN 56007-2437. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Youlden, Eric Jay can be contacted via phone (507) 373-2384.Contact Information
Primary practice address
404 W Fountain St
Albert Lea MN 56007-2437
Phone: (507) 373-2384
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2938 | Minnesota |
Profile Details
NPI number | 1083693220 |
---|---|
LBN Legal business name | Youlden, Eric Jay |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2006 |
Last updated | Sep 29th, 2020 - about 4 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 | 1083693220 | NPPES |
Minnesota | MEDICAID | 602616800 |
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