Young, Thomas A

Young, Thomas A is an sole proprietor health care provider with primary practice located at 211 E Havens St , Mitchell SD 57301-4402. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Young, Thomas A can be contacted via phone (605) 996-4671.

Contact Information

Primary practice address
211 E Havens St Mitchell SD 57301-4402
Phone: (605) 996-4671
Fax: (605) 996-4671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 451 South Dakota

Profile Details

NPI number 1417964792
LBN Legal business name Young, Thomas A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Oct 18th, 2010 - about 14 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 1417964792 NPPES
South Dakota Other P00849313 RAILROAD MEDICARE
South Dakota Other 0076548 RAILROAD MEDICARE
South Dakota Other 0530030001 RAILROAD MEDICARE
South Dakota Other 4266 RAILROAD MEDICARE
South Dakota MEDICAID 9201890 RAILROAD MEDICARE

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