Healthcare Provider Details

I. General information

NPI: 1336371178
Provider Name (Legal Business Name): LINDA SUE HINKELMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDA SUE STEBBINS MD

II. Dates (important events)

Enumeration Date: 08/12/2009
Last Update Date: 05/14/2021
Certification Date: 05/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 REID PKWY EMERGENCY DEPARTMENT
RICHMOND IN
47374-1157
US

IV. Provider business mailing address

1100 REID PKWY MEDICAL STAFF SERVICES
RICHMOND IN
47374-1157
US

V. Phone/Fax

Practice location:
  • Phone: 765-983-3144
  • Fax: 765-983-3038
Mailing address:
  • Phone: 765-935-8807
  • Fax: 765-983-3219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35.097827
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01072575A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: