Lydon, David J

Lydon, David J is an individual health care provider with primary practice located at 722 Hyatt St , Gaffney SC 29341-2643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lydon, David J can be contacted via phone (864) 489-2400.

Contact Information

Primary practice address
722 Hyatt St Gaffney SC 29341-2643
Phone: (864) 489-2400
Fax: (864) 488-3987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0260 South Carolina

Profile Details

NPI number 1154390599
LBN Legal business name Lydon, David J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 10th, 2020 - about 6 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 1154390599 NPPES
South Carolina Other SCE4665193 MEDICARE PIN
South Carolina Other SCE4666084 MEDICARE PIN
South Carolina MEDICAID 002605 MEDICARE PIN
South Carolina Other SCE466J577 MEDICARE PIN

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