Lynch, Jennifer B

Lynch, Jennifer B is an individual health care provider with primary practice located at 923 Eliza St , Green Bay WI 54301-3234. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Lynch, Jennifer B can be contacted via phone (920) 445-7226.

Contact Information

Primary practice address
923 Eliza St Green Bay WI 54301-3234
Fax: (920) 445-7229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 39587 Wisconsin

Profile Details

NPI number 1376686493
LBN Legal business name Lynch, Jennifer B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Feb 23rd, 2016 - about 10 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 1376686493 NPPES
Wisconsin Other 000307105 MEDICARE PTAN
Wisconsin MEDICAID 34070000 MEDICARE PTAN

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