Stevens, Lyn M
Stevens, Lyn M is an sole proprietor health care provider with primary practice located at 395 Se Piute Way , Lake City FL 32025-3935. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Stevens, Lyn M can be contacted via phone (386) 984-6759.Contact Information
Primary practice address
395 Se Piute Way
Lake City FL 32025-3935
Phone: (386) 984-6759
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 685257298 MCD | Florida |
Profile Details
| NPI number | 1760787105 |
|---|---|
| LBN Legal business name | Stevens, Lyn M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2011 |
| Last updated | Jan 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760787105 | NPPES |
| Florida | MEDICAID | 685257298 MCD |
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