Mcilvain, Lynne
Mcilvain, Lynne is an individual health care provider with primary practice located at 5794 Widewaters Pkwy , Syracuse NY 13214-1845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mcilvain, Lynne can be contacted via phone (315) 422-1513.Contact Information
Primary practice address
5794 Widewaters Pkwy
Syracuse NY 13214-1845
Phone: (315) 422-1513
Fax: (315) 422-5890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 001720 |
Profile Details
| NPI number | 1265403844 |
|---|---|
| LBN Legal business name | Mcilvain, Lynne |
| Credentials | RPAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Dec 10th, 2020 - about 4 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 | 1265403844 | NPPES |
| New York | MEDICAID | 01286680 |
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