Young, Timesha J.
Young, Timesha J. is an individual health care provider with primary practice located at 41000 Woodward Ave Ste 100 East, Bloomfield Hills MI 48304-5130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Young, Timesha J. can be contacted via phone (248) 593-6990.Contact Information
Primary practice address
41000 Woodward Ave Ste 100 East
Bloomfield Hills MI 48304-5130
Phone: (248) 593-6990
Fax: (248) 593-5130
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4682 | Arizona |
Profile Details
NPI number | 1982911558 |
---|---|
LBN Legal business name | Young, Timesha J. |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2010 |
Last updated | Mar 22nd, 2023 - about 2 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 | 1982911558 | NPPES |
Arizona | Other | 1093186 | NCCPA |
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