Shadoan, Lynnette L
Shadoan, Lynnette L is an individual health care provider with primary practice located at 2811 Linkhorne Dr Suite B, Lynchburg VA 24503-3321. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shadoan, Lynnette L can be contacted via phone (434) 384-1594.Contact Information
Primary practice address
2811 Linkhorne Dr Suite B
Lynchburg VA 24503-3321
Phone: (434) 384-1594
Fax: (434) 384-3228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701002222 | Virginia |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717000385 | Virginia |
Profile Details
| NPI number | 1548224363 |
|---|---|
| LBN Legal business name | Shadoan, Lynnette L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1548224363 | NPPES |
| Virginia | Other | 326051 | ANTHEM BC/BS |
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