Ebaugh, Lynn

Ebaugh, Lynn is an sole proprietor health care provider with primary practice located at 7640 Wolf River Cir 2Nd Floor, Germantown TN 38138-1744. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Ebaugh, Lynn can be contacted via phone (901) 755-0208.

Contact Information

Primary practice address
7640 Wolf River Cir 2Nd Floor Germantown TN 38138-1744
Phone: (901) 755-0208
Fax: (901) 757-0208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0000021175 Tennessee

Profile Details

NPI number 1568559862
LBN Legal business name Ebaugh, Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
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 1568559862 NPPES
Mississippi MEDICAID 0115172
Mississippi MEDICAID 3076527

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