Young, Monica

Young, Monica is an individual health care provider with primary practice located at 1615 Martin Luther King Blvd. , Malvern AR 72104. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Young, Monica can be contacted via phone (501) 332-5236.

Contact Information

Primary practice address
1615 Martin Luther King Blvd. Malvern AR 72104
Fax: (501) 620-5109
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1720141534
LBN Legal business name Young, Monica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Dec 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720141534 NPPES
Arkansas MEDICAID 116399726

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