Provider Demographics
NPI:1093026882
Name:LINCK, ADAM (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:LINCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1601 N 86TH ST
Mailing Address - Street 2:STE 200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-3714
Mailing Address - Country:US
Mailing Address - Phone:307-265-8300
Mailing Address - Fax:307-233-8230
Practice Address - Street 1:1020 S. CONWELL STREET
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601
Practice Address - Country:US
Practice Address - Phone:307-265-8300
Practice Address - Fax:307-233-8230
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE31440207Q00000X
KS7496207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine