Hart, Lynette C
Hart, Lynette C is an individual health care provider with primary practice located at 1800 N California St , Stockton CA 95204-6019. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Hart, Lynette C can be contacted via phone (209) 467-6330.Contact Information
Primary practice address
1800 N California St
Stockton CA 95204-6019
Phone: (209) 467-6330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 00G284190 | California |
Profile Details
| NPI number | 1639154438 |
|---|---|
| LBN Legal business name | Hart, Lynette C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639154438 | NPPES |
| California | MEDICAID | 00G284190 |
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