John D Lynch II, M.D.
Individual provider Active NPI Emergency Medicine Physician · Hartford, TN
NPI 1104950344 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104950344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 018686 (CT)
- Practice address
- 80 Seymour Street
Hartford, TN 06102 - Phone
- (860) 545-0001
- Fax
- (860) 545-2274
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 018686 | CT | Yes |
Addresses
Primary practice location
80 Seymour Street
Hartford, TN 06102
Mailing address
80 Seymour Street
Hartford, TN 06102
Phone (860) 545-0001
Other providers in Hartford, TN
All providers in Hartford, TN · Emergency Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.