Fossum, Lynelle A
Fossum, Lynelle A is an individual health care provider with primary practice located at 212 Maple Ave , Oakley KS 67748-1220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fossum, Lynelle A can be contacted via phone (785) 672-3261.Contact Information
Primary practice address
212 Maple Ave
Oakley KS 67748-1220
Phone: (785) 672-3261
Fax: (785) 672-8194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 45996 | Kansas |
Profile Details
| NPI number | 1205985587 |
|---|---|
| LBN Legal business name | Fossum, Lynelle A |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Feb 22nd, 2016 - about 10 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 | 1205985587 | NPPES |
| Kansas | MEDICAID | 100099230F | |
| Kansas | MEDICAID | 200420290D | |
| Kansas | Other | 16261 |
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