Young, Iola Grace
Young, Iola Grace is an individual health care provider with primary practice located at 3245 Hospital Dr , Juneau AK 99801-7809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Young, Iola Grace can be contacted via phone (907) 463-4040.Contact Information
Primary practice address
3245 Hospital Dr
Juneau AK 99801-7809
Phone: (907) 463-4040
Fax: (907) 463-6660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 427 | Alaska |
Profile Details
| NPI number | 1710050208 |
|---|---|
| LBN Legal business name | Young, Iola Grace |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 1st, 2009 - about 16 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 | 1710050208 | NPPES |
| Alaska | MEDICAID | MD28841 |
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