Lyne, Jeffrey R

Lyne, Jeffrey R is an individual health care provider with primary practice located at 1633 W Main St , Sun Prairie WI 53590-1839. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Lyne, Jeffrey R can be contacted via phone (608) 837-7712.

Contact Information

Primary practice address
1633 W Main St Sun Prairie WI 53590-1839
Phone: (608) 837-7712
Fax: (608) 825-6638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 2193 Wisconsin

Profile Details

NPI number 1023000791
LBN Legal business name Lyne, Jeffrey R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Nov 8th, 2012 - about 12 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 1023000791 NPPES
Wisconsin MEDICAID 38797600

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