Young Ii, Larry Dale

Young Ii, Larry Dale is an individual health care provider with primary practice located at 172 4Th St Se , Huron SD 57350-2510. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Young Ii, Larry Dale can be contacted via phone (605) 353-6200.

Contact Information

Primary practice address
172 4Th St Se Huron SD 57350-2510
Phone: (605) 353-6200
Fax: (605) 353-6300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209008962 Illinois

Profile Details

NPI number 1457639726
LBN Legal business name Young Ii, Larry Dale
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2011
Last updated Jan 5th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457639726 NPPES
Illinois Other 087548 ANCC CERTIFICATION NUMBER

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