Kosanovic, Lynn Wynne
Kosanovic, Lynn Wynne is an individual health care provider with primary practice located at 930 Sw 9Th Avenue , Albany OR 97321. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Kosanovic, Lynn Wynne can be contacted via phone (541) 926-9611.Contact Information
Primary practice address
930 Sw 9Th Avenue
Albany OR 97321
Phone: (541) 926-9611
Fax: (541) 926-6152
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 82012809 | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 082012809 | Oregon |
Profile Details
NPI number | 1760401244 |
---|---|
LBN Legal business name | Kosanovic, Lynn Wynne |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Dec 15th, 2010 - about 14 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 | 1760401244 | NPPES |
Oregon | MEDICAID | 213481 |
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