Provider Demographics
NPI:1689625329
Name:LINDER, HOWARD E (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:E
Last Name:LINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:90 JACKSON PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1560
Mailing Address - Country:US
Mailing Address - Phone:740-441-1949
Mailing Address - Fax:740-446-5982
Practice Address - Street 1:1051 4TH AVE
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1612
Practice Address - Country:US
Practice Address - Phone:740-446-5244
Practice Address - Fax:740-446-5448
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-02-8381207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0084252000Medicaid
000000007054OtherANTHEM BCBS
290004594OtherRR MEDICARE
OH000000185248OtherUNISON MEDICAID
OH310917085027OtherCARESOURCE MEDICAID
001714035OtherMOUNTAIN STATE BCBS
OH0554869OtherMOLINA MEDICAID
WV0084252000Medicaid
WV0549493Medicare PIN
OH310917085027OtherCARESOURCE MEDICAID
WV0549496Medicare PIN