Young, Nicholas David

Young, Nicholas David is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Young, Nicholas David can be contacted via phone (414) 266-2932.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (414) 266-2932
Fax: (414) 266-3735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3501-57 Wisconsin
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3501 Wisconsin

Profile Details

NPI number 1659700508
LBN Legal business name Young, Nicholas David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2013
Last updated Jul 21st, 2022 - about 3 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 1659700508 NPPES
Wisconsin MEDICAID 1659700508

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