National Provider Identifier Database

MICKEY J YOUNG, RN – NPI #1619115540
Enterostomal Therapy


Contact Information

MICKEY J YOUNG, RN
1036 SHEFFIELD PL
ALTON, IL62002-7574
Phone: 618-567-1104
Fax:
Website:
Specialty Taxonomy Code
* Enterostomal Therapy 163WE0900X

* Indicates primary specialty

NPI Profile & details for MICKEY J YOUNG

NPI Number 1619115540
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 01/30/2009
Last updated 01/30/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 041185157
  • MO License #: 092255
Hospital affiliation n/a

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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