Jennifer Lynn Lynch, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MT1921 Issued in ME

Practice address

304 Hancock St
Ste 2G
Bangor, ME 04401-6573

Phone

(207) 990-5711

Fax

(207) 990-5712

NPI assigned

Aug 4, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynn Crudell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northeast Chiropractic Center

  • Chiropractor
  • Bangor, ME
  • NPI 1548587298
  NPD (past)
• Northeast Chiropractic Center PA

  • Nutrition Chiropractor
  • Bangor, ME
  • NPI 1275825804
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1811276124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WATER ST",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049533161",
            "telephone_number": "207-416-3077",
            "fax_number": "207-990-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HANCOCK ST",
            "address_2": "STE 2G",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016573",
            "telephone_number": "207-990-5711",
            "fax_number": "207-990-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "ME",
            "license": "MT1921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CRUDELL",
            "middle_name": "LYNN",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaydence Lux, CCMA
• Luxottica of America Inc.
• Galina Lvin, W.H.C.N.P.
• Denise Lyakhovich
• Calli Ann Lynch
• Byron P Lyons
• M Drug LLC
• M Drug LLC
• M Drug LLC
• Mabel Wadsworth Women'S Health Center

• All providers in Bangor, ME
• Mechanotherapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.