Provider Demographics
NPI:1083637672
Name:LINDERMAN, JAMES E (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:LINDERMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 WILSON ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-5094
Mailing Address - Country:US
Mailing Address - Phone:406-233-2520
Mailing Address - Fax:406-233-4062
Practice Address - Street 1:2600 WILSON ST STE 1
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-5094
Practice Address - Country:US
Practice Address - Phone:406-233-2520
Practice Address - Fax:406-233-4062
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT102363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1841474087OtherDMERC NORIDAN MEDICARE
MT1083637672Medicaid
MT1841474087OtherMEDICARE/GROUP NPI
MT1083637672Medicare NSC
MT1841474087OtherDMERC NORIDAN MEDICARE
MT1083637672Medicaid