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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1679536205 NPPES
Wisconsin MEDICAID 39645300

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