Larry Young is a Physician Assistant in Charleston, . Larry Young practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Larry Young is 1700842143. The last update date is 2007-07-08.
Larry Young's current location address is 415 Morris St, Charleston, . You can contact this provider via phone number 3043443551 and fax number 3043426927. The mailing address for Larry Young is 415 Morris St, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Young |
|---|---|
| Address | 415 Morris St, Charleston, |
| Phone Number | 3043443551 |
| Fax Number | 3043426927 |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1700842143 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 415 Morris St |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 253011842 |
| Phone Number | 3043443551 |
| Fax Number | 3043426927 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 89 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Larry Young by the Centers for Medicare & Medicaid Services?
The Larry Young has been assigned the NPI (National Provider Identifier) 1700842143. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Larry Young?
The Larry Young is physically situated at 415 Morris St, in the city of Charleston, state of WV, with the postal code 253011842.
What is the Larry Young's area of specialization and corresponding taxonomy classification?
The Larry Young's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When was the Larry Young's 1700842143 issued?
The Larry Young's 1700842143 was issued on 2006-04-25.
As of what date were the details related to Larry Young most recently updated or revised?
The information pertaining to Larry Young, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1215930425
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