Young, Penny B
Young, Penny B is an sole proprietor health care provider with primary practice located at 770 Saybrook Rd Bldg B , Middletown CT 06457-4739. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Young, Penny B can be contacted via phone (860) 347-2776.Contact Information
Primary practice address
770 Saybrook Rd Bldg B
Middletown CT 06457-4739
Phone: (860) 347-2776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 004015 | Connecticut |
Profile Details
| NPI number | 1891936365 |
|---|---|
| LBN Legal business name | Young, Penny B |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2009 |
| Last updated | Jan 10th, 2011 - about 13 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 | 1891936365 | NPPES |
| Connecticut | MEDICAID | 004040150 |
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