Dennis M Lynch, DC

Individual provider Active NPI Chiropractor · Sweet Home, OR

NPI 1770640682 · NPPES record last updated Oct 26, 2007

Key facts

NPI
1770640682
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
272728 (OR)
Practice address
920 Main St
Sweet Home, OR 97386
Phone
(541) 367-6163
Fax
(541) 367-1425
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Western States College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

780 Long St
Sweet Home, OR 97386-3303
Phone (541) 367-6163

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080123000931 OR Practitioner - Chiropractic 7113911801 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2728ORMDClinical Social Worker
272728ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lynch Family Chiropractic Clinic PC Chiropractor Current
since Jul 1, 2002
Accepting new patients

Locations

920 Main St
Sweet Home, OR 97386
Phone (541) 367-6163

780 Long St
Sweet Home, OR 97386
Phone (541) 367-6163

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 272728 OR Yes

Addresses

Primary practice location

920 Main St
Sweet Home, OR 97386

Mailing address

920 Main St
Sweet Home, OR 97386
Phone (541) 367-6163

Other providers in Sweet Home, OR

All providers in Sweet Home, OR · Chiropractor in Oregon

Sources for this page

Verify at the official NPI Registry.