Basic Information
| Provider Information | |||||||||
| NPI: | 1689625329 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LINDER | ||||||||
| FirstName: | HOWARD | ||||||||
| MiddleName: | E. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 90 JACKSON PIKE | ||||||||
| Address2: | |||||||||
| City: | GALLIPOLIS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456311560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404411949 | ||||||||
| FaxNumber: | 7404465982 | ||||||||
| Practice Location | |||||||||
| Address1: | 1051 4TH AVE | ||||||||
| Address2: | |||||||||
| City: | GALLIPOLIS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456311612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404465244 | ||||||||
| FaxNumber: | 7404465448 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2006 | ||||||||
| LastUpdateDate: | 02/26/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | 35-02-8381 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207R00000X | 35-02-8381 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0084252000 | 05 | WV | MEDICAID | 000000007054 | 01 | ANTHEM BCBS | OTHER | 290004594 | 01 | RR MEDICARE | OTHER | 000000185248 | 01 | OH | UNISON MEDICAID | OTHER | 310917085027 | 01 | OH | CARESOURCE MEDICAID | OTHER | 001714035 | 01 | MOUNTAIN STATE BCBS | OTHER | 0554869 | 01 | OH | MOLINA MEDICAID | OTHER |