Young, Alton
Young, Alton is an individual health care provider with primary practice located at 2430 W Pierce St , Carlsbad NM 88220-3553. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Young, Alton can be contacted via phone (575) 887-4100.Contact Information
Primary practice address
2430 W Pierce St
Carlsbad NM 88220-3553
Phone: (575) 887-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R55383 | New Mexico |
Profile Details
| NPI number | 1619933926 |
|---|---|
| LBN Legal business name | Young, Alton |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Oct 25th, 2011 - about 14 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 | 1619933926 | NPPES |
| New Mexico | MEDICAID | 53130243 |
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