Lydon, Robert Josh

Lydon, Robert Josh is an individual health care provider with primary practice located at 272 Nw Medical Loop Ste E , Roseburg OR 97471-5545. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lydon, Robert Josh can be contacted via phone (541) 900-4285.

Contact Information

Primary practice address
272 Nw Medical Loop Ste E Roseburg OR 97471-5545
Phone: (541) 900-4285
Fax: (888) 810-2993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X L7631 Oregon

Profile Details

NPI number 1407137235
LBN Legal business name Lydon, Robert Josh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2011
Last updated Jun 13th, 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 1407137235 NPPES
Oregon MEDICAID 500712185

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