Lynch, Durward

Lynch, Durward is an individual health care provider with primary practice located at 806 S Ponderosa St , Payson AZ 85541-5541. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Lynch, Durward can be contacted via phone (928) 468-8603.

Contact Information

Primary practice address
806 S Ponderosa St Payson AZ 85541-5541
Phone: (928) 468-8603
Fax: (928) 468-8625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R31638 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP5348 Arizona

Profile Details

NPI number 1699747915
LBN Legal business name Lynch, Durward
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated May 8th, 2014 - about 11 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 1699747915 NPPES
New Mexico Other PROVP14270 MOLINA
New Mexico Other 201006124 MOLINA
New Mexico MEDICAID 332817 MOLINA
New Mexico MEDICAID 96361 MOLINA
New Mexico Other 10002113 MOLINA
New Mexico Other 500000924 MOLINA
New Mexico Other NM00BT16 MOLINA

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