Pruyn, Lindsey M

Pruyn, Lindsey M is an individual health care provider with primary practice located at 630 N Arrowleaf Trl , Sisters OR 97759-2610. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Pruyn, Lindsey M can be contacted via phone (541) 549-1318.

Contact Information

Primary practice address
630 N Arrowleaf Trl Sisters OR 97759-2610
Phone: (541) 549-1318
Fax: (541) 588-6002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-462 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA462 Idaho

Profile Details

NPI number 1699755512
LBN Legal business name Pruyn, Lindsey M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 1st, 2022 - about 4 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 1699755512 NPPES
Idaho Other PAUZ8 BLUE CROSS
Idaho MEDICAID 80708500 BLUE CROSS

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