Provider Demographics
NPI:1578701058
Name:GAUBATZ, LINDA T (CFA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:T
Last Name:GAUBATZ
Suffix:
Gender:F
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 NORTHGATE CT
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-6400
Mailing Address - Country:US
Mailing Address - Phone:812-944-4263
Mailing Address - Fax:812-944-1221
Practice Address - Street 1:3605 NORTHGATE CT
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-6400
Practice Address - Country:US
Practice Address - Phone:812-944-4263
Practice Address - Fax:812-944-1221
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant