Lydon, Joseph

Lydon, Joseph is an individual health care provider with primary practice located at 4930 Enterprise Dr Nw , Warren OH 44481-8706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Lydon, Joseph can be contacted via phone (330) 787-0955.

Contact Information

Primary practice address
4930 Enterprise Dr Nw Warren OH 44481-8706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 35057047 Ohio

Profile Details

NPI number 1598766859
LBN Legal business name Lydon, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Feb 15th, 2019 - about 6 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 1598766859 NPPES
Ohio MEDICAID 0786378

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