Young, Judy
Young, Judy is an sole proprietor health care provider with primary practice located at 101 Freedom Dr , Evanston WY 82930-3053. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Young, Judy can be contacted via phone (307) 789-3440.Contact Information
Primary practice address
101 Freedom Dr
Evanston WY 82930-3053
Phone: (307) 789-3440
Fax: (307) 789-3440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Wyoming |
Profile Details
| NPI number | 1376843557 |
|---|---|
| LBN Legal business name | Young, Judy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2010 |
| Last updated | Oct 22nd, 2010 - about 14 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 | 1376843557 | NPPES |
| Wyoming | MEDICAID | 113337300 |
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