MEDICARE: DR. ERIC O LINDBECK MD

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
1	207Y00000X	Otolaryngology Physician	9400900	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51990	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023061629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC O LINDBECK MD

Provider Business Mailing Address
First Line	:	850 JOHNS HOPKINS DR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-7222
Country	:	US
Telephone Number	:	252-752-5227
Fax Number	:	252-752-1191

Provider Business Practice Location Address
First Line	:	850 JOHNS HOPKINS DR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-7222
Country	:	US
Telephone Number	:	252-752-5227
Fax Number	:	252-752-1191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/09/2007

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