Provider Demographics
NPI:1356355978
Name:LIN, JOE CHIEN MING (MD)
Entity type:Individual
Prefix:DR
First Name:JOE
Middle Name:CHIEN MING
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-6313
Mailing Address - Country:US
Mailing Address - Phone:360-325-6523
Mailing Address - Fax:
Practice Address - Street 1:2000 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-4327
Practice Address - Country:US
Practice Address - Phone:360-856-6021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00026902207PE0004X
WA60061927207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8897582OtherMEDICARE IND. PTAN
WA0274696OtherLABOR AND INDUSTRY
GANPIOther1356355978
WA60061927OtherWASHINGSTON STATE LICENSE
WA60061927OtherWASHINGSTON STATE LICENSE
BL7942952OtherDEA REGISTRATION
GANPIOther1356355978