Provider Demographics
NPI:1659967131
Name:OSTENDORF, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:OSTENDORF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3561 MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-8623
Mailing Address - Country:US
Mailing Address - Phone:937-492-8931
Mailing Address - Fax:
Practice Address - Street 1:3561 MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-8623
Practice Address - Country:US
Practice Address - Phone:937-492-8931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health