Lynch, Michael Anthony

Lynch, Michael Anthony is an individual health care provider with primary practice located at 751 County Road K , Fond Du Lac WI 54935-7707. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Lynch, Michael Anthony can be contacted via phone (920) 929-6702.

Contact Information

Primary practice address
751 County Road K Fond Du Lac WI 54935-7707
Phone: (920) 929-6702
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3229-125 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2708-57 Wisconsin

Profile Details

NPI number 1861659872
LBN Legal business name Lynch, Michael Anthony
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated May 19th, 2008 - about 18 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 1861659872 NPPES
Wisconsin MEDICAID 40933200

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