Healthcare Provider Details

I. General information

NPI: 1245212760
Provider Name (Legal Business Name): DAVID E LINDE D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 INDEPENDENCE PLZ STE 530
BIRMINGHAM AL
35209-2646
US

IV. Provider business mailing address

1 INDEPENDENCE PLZ STE 530
BIRMINGHAM AL
35209-2646
US

V. Phone/Fax

Practice location:
  • Phone: 205-445-0661
  • Fax: 205-445-0664
Mailing address:
  • Phone: 205-445-0661
  • Fax: 205-445-0664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number258
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: