Valentijn, Lynnette M.
Valentijn, Lynnette M. is an individual health care provider with primary practice located at 3301 Cranberry Blvd , Weston WI 54476-5216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Valentijn, Lynnette M. can be contacted via phone (715) 393-3900.Contact Information
Primary practice address
3301 Cranberry Blvd
Weston WI 54476-5216
Phone: (715) 393-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01037473 | Indiana |
Profile Details
| NPI number | 1275524175 |
|---|---|
| LBN Legal business name | Valentijn, Lynnette M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jun 20th, 2019 - about 5 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 | 1275524175 | NPPES |
| Indiana | Other | 000000869274 | BCBS BMG PEDIATRICS BRISTOL ST |
| Indiana | MEDICAID | 100260460 | BCBS BMG PEDIATRICS BRISTOL ST |
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