Lynam, Rochelle Marie

Lynam, Rochelle Marie is an sole proprietor health care provider with primary practice located at 211 16Th Ave N , Nampa ID 83687-4058. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lynam, Rochelle Marie can be contacted via phone (208) 467-4431.

Contact Information

Primary practice address
211 16Th Ave N Nampa ID 83687-4058
Fax: (208) 467-7684
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60049562 Washington

Profile Details

NPI number 1215190798
LBN Legal business name Lynam, Rochelle Marie
Credentials MPH, PA-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2008
Last updated Jan 16th, 2015 - about 11 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 1215190798 NPPES
Washington Other P00691526 RAILROAD MEDICARE
Washington MEDICAID 8528598 RAILROAD MEDICARE
Washington MEDICAID 500606345 RAILROAD MEDICARE
Washington Other 0242920 RAILROAD MEDICARE

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