Healthcare Provider Details

I. General information

NPI: 1831194646
Provider Name (Legal Business Name): CLAUDIO ESTEBAN LINARES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 11/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 DUSTIN RD SUITE C
OREGON OH
43616
US

IV. Provider business mailing address

2815 DUSTIN RD SUITE C
OREGON OH
43616
US

V. Phone/Fax

Practice location:
  • Phone: 419-691-5716
  • Fax: 419-691-3340
Mailing address:
  • Phone: 419-691-5716
  • Fax: 419-691-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number35065216L
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35065216
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: