Provider Demographics
NPI:1417922006
Name:LINDER, JEANETTE ADELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:JEANETTE
Middle Name:ADELLE
Last Name:LINDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JEANETTE
Other - Middle Name:ADELLE
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-2640
Mailing Address - Fax:717-339-2641
Practice Address - Street 1:40 V TWIN DR STE 102
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7878
Practice Address - Country:US
Practice Address - Phone:717-339-2640
Practice Address - Fax:717-339-2641
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD407032085R0001X
PABF26404902085R0001X
PAMD4796302085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD447631000Medicaid
MDQMP000003346839OtherBRAVO HEALTH
MD920005865Medicare PIN
MDQMP000003346839OtherBRAVO HEALTH
MD447631000Medicaid
MD163604YYPMedicare PIN
DC920006340Medicare PIN
MD163462Medicare PIN
MD163604ZERQMedicare PIN
MDF77341Medicare UPIN