Lynn, John Worth
Lynn, John Worth is an individual health care provider with primary practice located at 104 Morton Ave , Petersburg VA 23805-2750. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lynn, John Worth can be contacted via phone (804) 732-0056.Contact Information
Primary practice address
104 Morton Ave
Petersburg VA 23805-2750
Phone: (804) 732-0056
Fax: (804) 732-1420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 02896 | Virginia |
Profile Details
| NPI number | 1457342156 |
|---|---|
| LBN Legal business name | Lynn, John Worth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457342156 | NPPES |
| Virginia | MEDICAID | 7805675 |
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