Healthcare Provider Details

I. General information

NPI: 1669582151
Provider Name (Legal Business Name): WILLIAM J. LYNCH, D.O., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 FRANKLIN AVE
BROOKVILLE PA
15825-1121
US

IV. Provider business mailing address

127 FRANKLIN AVE
BROOKVILLE PA
15825-1121
US

V. Phone/Fax

Practice location:
  • Phone: 814-849-3023
  • Fax: 814-849-5048
Mailing address:
  • Phone: 814-849-3023
  • Fax: 814-849-5048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM J LYNCH
Title or Position: D.O.
Credential: D.O.
Phone: 814-849-3023