Lydon, John Patrick
Lydon, John Patrick is an sole proprietor health care provider with primary practice located at 12417 Ocean Gtwy Ste A6 , Ocean City MD 21842-9521. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Lydon, John Patrick can be contacted via phone (443) 664-7253.Contact Information
Primary practice address
12417 Ocean Gtwy Ste A6
Ocean City MD 21842-9521
Phone: (443) 664-7253
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PC333 | District of Columbia |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 00580 | Maryland |
Profile Details
| NPI number | 1952391575 |
|---|---|
| LBN Legal business name | Lydon, John Patrick |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Oct 22nd, 2018 - about 8 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 | 1952391575 | NPPES |
| District of Columbia | Other | 13310001 | BCBS |
| District of Columbia | Other | 13310001 | BCBS |
| District of Columbia | Other | 330991 | BCBS |
| District of Columbia | MEDICAID | 419588400 | BCBS |
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