Lynn, Henry Fairfax
Lynn, Henry Fairfax is an sole proprietor health care provider with primary practice located at 36 Rush No More Ln , Berkeley Springs WV 25411-6980. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Lynn, Henry Fairfax can be contacted via phone (304) 279-8787.Contact Information
Primary practice address
36 Rush No More Ln
Berkeley Springs WV 25411-6980
Phone: (304) 279-8787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 20024 | West Virginia |
Profile Details
| NPI number | 1700071230 |
|---|---|
| LBN Legal business name | Lynn, Henry Fairfax |
| Credentials | M.S., ED.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2007 |
| Last updated | Sep 7th, 2007 - about 19 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 | 1700071230 | NPPES |
| West Virginia | MEDICAID | 0163812000 |
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