Provider Demographics
NPI:1699910547
Name:YOUNG, JOSHUA EASTON (CPHT)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:EASTON
Last Name:YOUNG
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 E BRADY ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4765
Mailing Address - Country:US
Mailing Address - Phone:724-504-4502
Mailing Address - Fax:
Practice Address - Street 1:615 E BRADY ST APT 2
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4765
Practice Address - Country:US
Practice Address - Phone:724-504-4502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-06
Last Update Date:2008-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA450101080960391247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other