Young, Thomas Jeffrey

Young, Thomas Jeffrey is an individual health care provider with primary practice located at 400 E 3Rd St Essentia Health Duluth Clinic, Duluth MN 55805-1951. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Young, Thomas Jeffrey can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Essentia Health Duluth Clinic Duluth MN 55805-1951
Phone: (218) 786-8364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R175640-5 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R175640-5 Minnesota

Profile Details

NPI number 1295174399
LBN Legal business name Young, Thomas Jeffrey
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2013
Last updated Oct 18th, 2013 - about 11 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 1295174399 NPPES
Minnesota MEDICAID 1295174399
Minnesota MEDICAID 1295174399
Minnesota MEDICAID 1295174399

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