Odell, Lynne E.

Odell, Lynne E. is an sole proprietor health care provider with primary practice located at 133 Cambridge Street , Syracuse NY 13210-2205. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Odell, Lynne E. can be contacted via phone (315) 218-5963.

Contact Information

Primary practice address
133 Cambridge Street Syracuse NY 13210-2205
Phone: (315) 218-5963
Fax: (315) 218-5963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2547141 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 332404 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 400498 New York

Profile Details

NPI number 1962499756
LBN Legal business name Odell, Lynne E.
Credentials NP PSYCHIATRY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Mar 7th, 2023 - about 3 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 1962499756 NPPES
Other 300298007 VALUE OPTIONS PIN
Other 500021448 VALUE OPTIONS PIN
Other 00011447 VALUE OPTIONS PIN
Other 094387546 VALUE OPTIONS PIN
Other 500021448 VALUE OPTIONS PIN
Other F4004981 VALUE OPTIONS PIN
MEDICAID 02218871 VALUE OPTIONS PIN
Other 155190 VALUE OPTIONS PIN
Other CC2142 VALUE OPTIONS PIN
Other BA0346 VALUE OPTIONS PIN
Other 11378483 VALUE OPTIONS PIN
Other 5825 VALUE OPTIONS PIN
Other 328380 VALUE OPTIONS PIN
Other 6227587 VALUE OPTIONS PIN
Other 02218871 VALUE OPTIONS PIN
Other 2547141 VALUE OPTIONS PIN
Other 328380 VALUE OPTIONS PIN
Other 500014206 VALUE OPTIONS PIN
Other 711721 VALUE OPTIONS PIN
Other F3324040 VALUE OPTIONS PIN
Other 0809365 VALUE OPTIONS PIN
Other 50001405 VALUE OPTIONS PIN

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