MEDICARE: JONATHAN YOUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	082351	IA

General Provider Information

NPI Number	:	1841647898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN YOUNG

Provider Business Mailing Address
First Line	:	3204 SINGING HILLS BLVD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-5101
Country	:	US
Telephone Number	:	712-276-7377
Fax Number	:	712-276-0854

Provider Business Practice Location Address
First Line	:	3204 SINGING HILLS BLVD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-5101
Country	:	US
Telephone Number	:	712-276-7377
Fax Number	:	712-276-0854

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2016
Last Update Date	:	05/19/2016

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Directions to “ JONATHAN YOUNG ” Practice Location

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