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NPI Code Detail

MEDICARE: JONATHAN J LINTHICUM MD INC.

MEDICARE: JONATHAN J LINTHICUM MD INC.
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
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1427381326
Entity Type Code : Organization
Provider Name (Legal Business Name) : JONATHAN J LINTHICUM MD INC.
Provider Business Mailing Address
First Line : 84 MADRONE ST
Second Line :
City : WILLITS
State : CA
Zip : 95490-4249
Country : US
Telephone Number : 707-459-6855
Fax Number : 707-459-9585
Provider Business Practice Location Address
First Line : 84 MADRONE ST
Second Line :
City : WILLITS
State : CA
Zip : 95490-4249
Country : US
Telephone Number : 707-459-6855
Fax Number : 707-459-9585
Authorized Official
Title or Position : PRESIDENT
Name : JONATHAN JAY LINTHICUM
Credential : M.D.
Telephone Number : 707-459-6855
Provider Enumeration Date : 09/09/2009
Last Update Date : 09/09/2009

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