Young, Jon Randal
Young, Jon Randal is an individual health care provider with primary practice located at 4370 S. Redwood Road Suite B, Salt Lake City UT 84123-2223. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Young, Jon Randal can be contacted via phone (801) 417-5386.Contact Information
Primary practice address
4370 S. Redwood Road Suite B
Salt Lake City UT 84123-2223
Phone: (801) 417-5386
Fax: (801) 417-5522
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 104424-0501 | Utah |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 104424-0501 | Utah |
Profile Details
NPI number | 1700816709 |
---|---|
LBN Legal business name | Young, Jon Randal |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 4th, 2006 |
Last updated | Oct 25th, 2022 - about 2 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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