Lynch, Gordon
Lynch, Gordon is an individual health care provider with primary practice located at 1 S Main St , Janesville WI 53545-3922. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lynch, Gordon can be contacted via phone (608) 757-0404.Contact Information
Primary practice address
1 S Main St
Janesville WI 53545-3922
Phone: (608) 757-0404
Fax: (608) 757-2319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2063 | Wisconsin |
Profile Details
| NPI number | 1679536205 |
|---|---|
| LBN Legal business name | Lynch, Gordon |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1679536205 | NPPES |
| Wisconsin | MEDICAID | 39645300 |
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