LAURA YOUNG, VA BOISE, ID - NPI 1063147023

Contact Information

LAURA YOUNG

500 W FORT ST
BOISE, ID 83702-4501

Phone: 208-422-1000
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	VA	261QV0200X

Indicates primary specialty

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NPI Profile & details for LAURA YOUNG · (Female)

NPI #	`1063147023`
Status	Active
Credentials
Entity	Individual
Enumeration date	07/22/2022
Last updated	07/22/2022 - About 4 years ago
Sole proprietor ¹	Yes
Identifiers	ID License # 73612
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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