Provider Demographics
NPI:1780620898
Name:LINN, HEATHER M (MD)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:M
Last Name:LINN
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7402 HOLLISTER AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-2583
Mailing Address - Country:US
Mailing Address - Phone:805-562-8686
Mailing Address - Fax:
Practice Address - Street 1:7402 HOLLISTER AVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93117
Practice Address - Country:US
Practice Address - Phone:805-562-8686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-013372084N0400X
NJ25MA086895002084N0400X
SC344652084N0400X
KY466752084N0400X
VA01012453212084N0400X
WI629832084N0400X
IN01072071A2084N0400X
MI43015003162084N0400X
AZ448812084N0400X
CA542482084N0400X
FLME1032722084N0400X
GA0622482084N0400X
IL0361281992084N0400X
TXH58212084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8W1950OtherBCBS
TX138428113Medicaid
TX8L17480Medicare PIN
TX8F3538Medicare PIN
TX8W1950OtherBCBS