Chintala, Lynne A

Chintala, Lynne A is an individual health care provider with primary practice located at 1061 Harmon Ave , Ft Stewart GA 31314-5601. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chintala, Lynne A can be contacted via phone (912) 435-6350.

Contact Information

Primary practice address
1061 Harmon Ave Ft Stewart GA 31314-5601
Phone: (912) 435-6350
Fax: (912) 435-6650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0601001590 Virginia

Profile Details

NPI number 1639161482
LBN Legal business name Chintala, Lynne A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 8th, 2007 - about 18 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 1639161482 NPPES
Virginia Other 0601001590 OPTOMETRY LICENSE

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