Youngblood, Harley Orville
Youngblood, Harley Orville is an sole proprietor health care provider with primary practice located at 11815 Ne Highway 99 Ste. A, Vancouver WA 98686-4008. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Youngblood, Harley Orville can be contacted via phone (360) 696-4405.Contact Information
Primary practice address
11815 Ne Highway 99 Ste. A
Vancouver WA 98686-4008
Phone: (360) 696-4405
Fax: (360) 696-0582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00003002 | Washington |
Profile Details
| NPI number | 1346233103 |
|---|---|
| LBN Legal business name | Youngblood, Harley Orville |
| Credentials | DCRN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Sep 14th, 2012 - about 12 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 | 1346233103 | NPPES |
| Washington | Other | 46659 | L & I |
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