Kline, Lynette
Kline, Lynette is an sole proprietor health care provider with primary practice located at 510 Cypress St Ste A, Fort Bragg CA 95437-5411. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kline, Lynette can be contacted via phone (707) 961-1037.Contact Information
Primary practice address
510 Cypress St Ste A
Fort Bragg CA 95437-5411
Phone: (707) 961-1037
Fax: (707) 961-0346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9506 | California |
Profile Details
| NPI number | 1881688380 |
|---|---|
| LBN Legal business name | Kline, Lynette |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2005 |
| Last updated | May 5th, 2016 - about 8 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 | 1881688380 | NPPES |
| California | MEDICAID | SD0095060 |
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