Stafford, Lynn H

Stafford, Lynn H is an individual health care provider with primary practice located at 7559 W Jefferson Blvd , Fort Wayne IN 46804-4131. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Stafford, Lynn H can be contacted via phone (260) 436-3579.

Contact Information

Primary practice address
7559 W Jefferson Blvd Fort Wayne IN 46804-4131
Fax: (260) 459-0287
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000636 Indiana

Profile Details

NPI number 1134104474
LBN Legal business name Stafford, Lynn H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 13th, 2012 - about 12 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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