Healthcare Provider Details

I. General information

NPI: 1346317682
Provider Name (Legal Business Name): LYNCH & SONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8458 BROOKVILLE RD
INDIANAPOLIS IN
46239-9491
US

IV. Provider business mailing address

8458 BROOKVILLE RD
INDIANAPOLIS IN
46239-9491
US

V. Phone/Fax

Practice location:
  • Phone: 317-354-3350
  • Fax: 317-354-3355
Mailing address:
  • Phone: 317-354-3350
  • Fax: 317-354-3355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License NumberC0986701
License Number StateIN

VIII. Authorized Official

Name: GARY LYNCH
Title or Position: PRESIDENT
Credential:
Phone: 317-354-3350