Provider Demographics
NPI:1851420947
Name:SCHACHINGER, LYNN TIMOTHY (DO)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:TIMOTHY
Last Name:SCHACHINGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 SPRING ARBOR RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203-2748
Mailing Address - Country:US
Mailing Address - Phone:517-783-3112
Mailing Address - Fax:517-783-6057
Practice Address - Street 1:2424 SPRING ARBOR RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-2748
Practice Address - Country:US
Practice Address - Phone:517-783-3112
Practice Address - Fax:517-783-6057
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101010043207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
100008017OtherRR MEDICARE
MI3216444Medicaid
4258848OtherAETNA
MI1053808245OtherBCBSM
MI200000004876OtherPHYSICIANS HEALTH PLAN
MI0P21470001Medicare ID - Type Unspecified
MI1053808245OtherBCBSM