Provider Demographics
NPI:1659588366
Name:F. LYNN MESHBERGER M.D. INC.
Entity Type:Organization
Organization Name:F. LYNN MESHBERGER M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:F.
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MESHBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-646-8320
Mailing Address - Street 1:2101 JACKSON ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-4388
Mailing Address - Country:US
Mailing Address - Phone:765-646-8320
Mailing Address - Fax:765-640-1127
Practice Address - Street 1:2101 JACKSON ST
Practice Address - Street 2:SUITE 211
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-4388
Practice Address - Country:US
Practice Address - Phone:765-646-8320
Practice Address - Fax:765-640-1127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01025681174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INE47702Medicare UPIN
IN067650Medicare ID - Type Unspecified