Christensen, Lynde D

Christensen, Lynde D is an individual health care provider with primary practice located at 1558 N Crestmont Dr Suite A, Meridian ID 83642-2192. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Christensen, Lynde D can be contacted via phone (208) 887-7622.

Contact Information

Primary practice address
1558 N Crestmont Dr Suite A Meridian ID 83642-2192
Fax: (208) 887-7689
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3741 Idaho

Profile Details

NPI number 1457345134
LBN Legal business name Christensen, Lynde D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Sep 29th, 2014 - about 11 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 1457345134 NPPES
Idaho MEDICAID 806834200

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