Bahde, Lynda J.

Bahde, Lynda J. is an individual health care provider with primary practice located at 2935 Shore Dr , Marinette WI 54143-4237. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bahde, Lynda J. can be contacted via phone (715) 732-9193.

Contact Information

Primary practice address
2935 Shore Dr Marinette WI 54143-4237
Phone: (715) 732-9193
Fax: (715) 732-9196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1704-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704200437 Michigan

Profile Details

NPI number 1104897412
LBN Legal business name Bahde, Lynda J.
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated May 7th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104897412 NPPES
Wisconsin MEDICAID 43914800

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