Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | G49108 | CA |
NPI | 1023088127 |
---|---|
Provider Name | Dr. Joel Bruce Younger |
First Address | Kirkland, WA 98034-5225 |
Second Address | Kirkland, WA 98034-5225 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 16/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130023594 | RAILROAD MEDICARE (01) | PA |
A51263 | (02) | PA |
FY0143266 | DEA (01) | WA |
MD00019547 | LICENSE (01) | WA |