Madison, Lynda S

Madison, Lynda S is an sole proprietor health care provider with primary practice located at 4917 Underwood Ave , Omaha NE 68132-2421. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Madison, Lynda S can be contacted via phone (402) 740-7718.

Contact Information

Primary practice address
4917 Underwood Ave Omaha NE 68132-2421
Phone: (402) 740-7718
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 153 Nebraska
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 153 Nebraska

Profile Details

NPI number 1871640128
LBN Legal business name Madison, Lynda S
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Mar 9th, 2011 - about 13 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 1871640128 NPPES
Nebraska Other 8129 BCBS
Nebraska Other 3029 BCBS
Nebraska MEDICAID 49405 BCBS
Nebraska Other 6135830 BCBS

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