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NPI Code Detail

MEDICARE: DR. JAMES VINCENT LINNICK D.O.

MEDICARE: DR. JAMES VINCENT LINNICK D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianR1H26MO

General Provider Information

NPI Number : 1417961988
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES VINCENT LINNICK D.O.
Provider Business Mailing Address
First Line : 11605 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64050-4201
Country : US
Telephone Number : 816-579-6891
Fax Number :
Provider Business Practice Location Address
First Line : 11605 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64050-4201
Country : US
Telephone Number : 816-579-6891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 08/31/2023

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Directions to “ DR. JAMES VINCENT LINNICK D.O.” Practice Location

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