Mitchell, Lynn D

Mitchell, Lynn D is an sole proprietor health care provider with primary practice located at 629 W Main St , Riverhead NY 11901-2842. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mitchell, Lynn D can be contacted via phone (631) 727-8217.

Contact Information

Primary practice address
629 W Main St Riverhead NY 11901-2842
Phone: (631) 727-8217
Fax: (631) 727-8101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X F400846 New York

Profile Details

NPI number 1457337404
LBN Legal business name Mitchell, Lynn D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Dec 29th, 2015 - about 9 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 1457337404 NPPES
New York MEDICAID 02585573

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