Healthcare Provider Details

I. General information

NPI: 1932199114
Provider Name (Legal Business Name): JOHN ERIC LINDNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 SPRING ST
JEFFERSONVILLE IN
47130-3704
US

IV. Provider business mailing address

PO BOX 776351
CHICAGO IL
60677-6351
US

V. Phone/Fax

Practice location:
  • Phone: 812-282-8494
  • Fax: 812-288-4481
Mailing address:
  • Phone: 502-559-9337
  • Fax: 502-272-5339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number25897
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number01043818
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: