Provider Demographics
NPI:1326280983
Name:DAVID M LINCER
Entity Type:Organization
Organization Name:DAVID M LINCER
Other - Org Name:ROLLIN' ALONG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LINCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-215-0625
Mailing Address - Street 1:10700 BEVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94603-3924
Mailing Address - Country:US
Mailing Address - Phone:510-215-0625
Mailing Address - Fax:
Practice Address - Street 1:10700 BEVERLY AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94603-3924
Practice Address - Country:US
Practice Address - Phone:510-215-0625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-28
Last Update Date:2009-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies