Dobrovolny, C. Lynne
Dobrovolny, C. Lynne is an individual health care provider with primary practice located at 7600 Carroll Ave , Takoma Park MD 20912-6367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dobrovolny, C. Lynne can be contacted via phone (301) 891-7600.Contact Information
Primary practice address
7600 Carroll Ave
Takoma Park MD 20912-6367
Phone: (301) 891-7600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3062 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0003158 | Maryland |
Profile Details
| NPI number | 1770621864 |
|---|---|
| LBN Legal business name | Dobrovolny, C. Lynne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Sep 12th, 2008 - about 17 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 | 1770621864 | NPPES |
| Arizona | MEDICAID | 113339 |
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