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
Phone: (208) 467-4431
Fax: (208) 467-7684
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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