Youngstrom, Eric A
Youngstrom, Eric A is an individual health care provider with primary practice located at 110 S 9Th Ave , Yakima WA 98902-3315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Youngstrom, Eric A can be contacted via phone (509) 573-3448.Contact Information
Primary practice address
110 S 9Th Ave
Yakima WA 98902-3315
Phone: (509) 573-3448
Fax: (509) 574-4481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4792 | Alaska |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD00015269 | Washington |
Profile Details
| NPI number | 1013943745 |
|---|---|
| LBN Legal business name | Youngstrom, Eric A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Feb 18th, 2010 - about 15 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 | 1013943745 | NPPES |
| Washington | MEDICAID | 1555101 |
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