Young, Craig M
Young, Craig M is an sole proprietor health care provider with primary practice located at 24020 132Nd Ave Se , Kent WA 98042-5108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Young, Craig M can be contacted via phone (253) 631-2929.Contact Information
Primary practice address
24020 132Nd Ave Se
Kent WA 98042-5108
Phone: (253) 631-2929
Fax: (253) 631-2972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0019725 | Washington |
Profile Details
| NPI number | 1487647012 |
|---|---|
| LBN Legal business name | Young, Craig M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Oct 1st, 2007 - about 18 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 | 1487647012 | NPPES |
| Washington | MEDICAID | 1001718 |
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