Provider Demographics
NPI:1629096029
Name:LINERT, DANIEL PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PAUL
Last Name:LINERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:85 E US HIGHWAY 6 STE 300
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-8948
Mailing Address - Country:US
Mailing Address - Phone:219-983-6300
Mailing Address - Fax:219-983-6080
Practice Address - Street 1:85 E US HIGHWAY 6 STE 300
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383
Practice Address - Country:US
Practice Address - Phone:219-983-6300
Practice Address - Fax:219-983-6080
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01035134A207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
060039391OtherRAILROAD MEDICARE
IN100356440Medicaid
90000561OtherBLUE SHIELD OF IL
000000184896OtherBLUE CROSS BLUE SHIELD IN
000000184896OtherBLUE CROSS BLUE SHIELD IN
INB29057Medicare UPIN