Beauchesne, Lynnel Constance Dickson
Beauchesne, Lynnel Constance Dickson is an sole proprietor health care provider with primary practice located at Rr 2 Box 181-23 , Tunnelton WV 26444-9642. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Beauchesne, Lynnel Constance Dickson can be contacted via phone (304) 892-4653.Contact Information
Primary practice address
Rr 2 Box 181-23
Tunnelton WV 26444-9642
Phone: (304) 892-4653
Fax: (304) 892-3943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3317 | West Virginia |
Profile Details
| NPI number | 1376769455 |
|---|---|
| LBN Legal business name | Beauchesne, Lynnel Constance Dickson |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1376769455 | NPPES |
| West Virginia | MEDICAID | 0134475000 | |
| West Virginia | Other | 3317 |
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