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
Fax: (248) 593-5130
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982911558 NPPES
Arizona Other 1093186 NCCPA

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