Young, Douglas Trent
Young, Douglas Trent is an individual health care provider with primary practice located at 2845 Siena Heights Dr , Henderson NV 89052-4153. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Young, Douglas Trent can be contacted via phone (702) 617-1227.Contact Information
Primary practice address
2845 Siena Heights Dr
Henderson NV 89052-4153
Phone: (702) 617-1227
Fax: (702) 492-1589
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA636 | Nevada |
Profile Details
NPI number | 1003889577 |
---|---|
LBN Legal business name | Young, Douglas Trent |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2006 |
Last updated | Feb 14th, 2014 - about 10 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 | 1003889577 | NPPES |
Nevada | MEDICAID | 002402368 | |
Nevada | MEDICAID | 1003889577 |
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