Doctor Name: | MRS. SALLY ANN YOUNG |
NPI Number: | 1053386474 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.T.C.-L |
License Number: | 36000029A |
Business Practice Address: | 6422 E State Road 218 Walton, IN - 469949303 |
Business Phone Number: | 5746262511 |
Business Fax Number: | 5746262172 |
Mailing Address: | 314 W Jackson St, GALVESTON |
State: | IN |
Postal Code: | 469328791 |
Phone Number: | 5746996449 |
Fax Number: | 5746262172 |
NPI Enumeration Date: | 02/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | 36000029A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |