Coolidge, Lynn Anne

Coolidge, Lynn Anne is an sole proprietor health care provider with primary practice located at 129 Elder Dr , Mastic Beach NY 11951-4605. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Coolidge, Lynn Anne can be contacted via phone (631) 399-9825.

Contact Information

Primary practice address
129 Elder Dr Mastic Beach NY 11951-4605
Phone: (631) 399-9825
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 208126-1 New York

Profile Details

NPI number 1578607933
LBN Legal business name Coolidge, Lynn Anne
Credentials LICENSED PRACTICAL N
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578607933 NPPES
New York MEDICAID 02069932

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