Young, Thomas

Young, Thomas is an individual health care provider with primary practice located at 16792 Conneaut Lake Rd , Meadville PA 16335-3748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Young, Thomas can be contacted via phone (814) 373-2335.

Contact Information

Primary practice address
16792 Conneaut Lake Rd Meadville PA 16335-3748
Fax: (814) 373-2338
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X DR49094 Colorado
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 29292 Kentucky
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD039841E Pennsylvania

Profile Details

NPI number 1255337259
LBN Legal business name Young, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 30th, 2018 - about 7 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 1255337259 NPPES
Kentucky Other 50006869 PASSPORT
Kentucky MEDICAID 64000920 PASSPORT
Kentucky MEDICAID 13802780 PASSPORT
Kentucky Other 830000259 PASSPORT
Kentucky MEDICAID 1255337259 PASSPORT

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