MEDICARE: ALAN YOUNG AU.D.

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	231H00000X	Audiologist	348193-4101	UT
2	237600000X	Audiologist-Hearing Aid Fitter	348193-4101	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	80608	OTHER	UT	PEHP
2	97348193400001	OTHER	UT	REGENCE BCBS
3	00001812916-03	OTHER	UT	UNITED HEALTHCARE
4	212953	OTHER	UT	ALTIUS
5	0900563310	OTHER	UT	MOLINA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1704142	OTHER	UT	CIGNA

General Provider Information

NPI Number	:	1588691380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN YOUNG AU.D.

Provider Business Mailing Address
First Line	:	5642 S 900 E
Second Line	:	SUITE 1
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-1060
Country	:	US
Telephone Number	:	801-713-0101
Fax Number	:	801-262-1091

Provider Business Practice Location Address
First Line	:	5642 S 900 E
Second Line	:	SUITE 1
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-1060
Country	:	US
Telephone Number	:	801-713-0101
Fax Number	:	801-262-1091

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	10/21/2016

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Directions to “ ALAN YOUNG AU.D.” Practice Location

Language	Start Address	Practice Location

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