Woodburn, Lynda

Woodburn, Lynda is an individual health care provider with primary practice located at 5007 Providence Rd #105, Charlotte NC 28226-5849. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woodburn, Lynda can be contacted via phone (704) 364-6594.

Contact Information

Primary practice address
5007 Providence Rd #105 Charlotte NC 28226-5849
Phone: (704) 364-6594
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1578538369
LBN Legal business name Woodburn, Lynda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1578538369 NPPES
North Carolina MEDICAID 6003080

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