Young, Russell E

Young, Russell E is an individual health care provider with primary practice located at 601 Jacob Ln , Anoka MN 55303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Young, Russell E can be contacted via phone (763) 587-4400.

Contact Information

Primary practice address
601 Jacob Ln Anoka MN 55303
Phone: (763) 587-4400
Fax: (763) 587-4205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8927 Minnesota

Profile Details

NPI number 1265407811
LBN Legal business name Young, Russell E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 15th, 2019 - about 6 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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