Young, Leann B
Young, Leann B is an individual health care provider with primary practice located at 8600 N Route 91 Suite 130, Peoria IL 61615. 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, Leann B can be contacted via phone (309) 683-5059.Contact Information
Primary practice address
8600 N Route 91 Suite 130
Peoria IL 61615
Phone: (309) 683-5059
Fax: (309) 683-5446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085001383 | Illinois |
Profile Details
| NPI number | 1104835768 |
|---|---|
| LBN Legal business name | Young, Leann B |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Aug 19th, 2008 - 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 | 1104835768 | NPPES |
| Illinois | Other | 920006568 | RAILROAD MEDICARE |
| Illinois | Other | P00608470 | RAILROAD MEDICARE |
| Illinois | Other | 434110 | RAILROAD MEDICARE |
| Illinois | Other | CA4079 | RAILROAD MEDICARE |
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