Christophersen, Lyn M
Christophersen, Lyn M is an sole proprietor health care provider with primary practice located at 483 W Seed Farm Rd Gila River Hu Hu Kam Memorial Medical Center Rhba, Sacaton AZ 85247. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Christophersen, Lyn M can be contacted via phone (602) 528-7151.Contact Information
Primary practice address
483 W Seed Farm Rd Gila River Hu Hu Kam Memorial Medical Center Rhba
Sacaton AZ 85247
Phone: (602) 528-7151
Fax: (602) 528-1374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC 0751 | Arizona |
Profile Details
| NPI number | 1942478839 |
|---|---|
| LBN Legal business name | Christophersen, Lyn M |
| Credentials | LISAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2008 |
| Last updated | Feb 14th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942478839 | NPPES |
| Arizona | MEDICAID | 346214 |
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