Van Ummersen, Lynn
Van Ummersen, Lynn is an individual health care provider with primary practice located at 765 Image Way , Orange City FL 32763-8399. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Van Ummersen, Lynn can be contacted via phone (386) 774-7411.Contact Information
Primary practice address
765 Image Way
Orange City FL 32763-8399
Phone: (386) 774-7411
Fax: (386) 774-7412
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 99045 | Florida |
Profile Details
NPI number | 1447211818 |
---|---|
LBN Legal business name | Van Ummersen, Lynn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2006 |
Last updated | Aug 30th, 2023 - about last year |
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 | 1447211818 | NPPES |
Florida | MEDICAID | 000924400 |
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