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NPI Code Detail

MEDICARE: JOHN E LINN M.D.

MEDICARE: JOHN E LINN M.D.
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
1207W00000XOphthalmology PhysicianN-8358AR
2207W00000XOphthalmology PhysicianMD9957AL
3207W00000XOphthalmology PhysicianMD015570TN
4207W00000XOphthalmology Physician19211MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1180021494OTHERTNPALMETTO RR MEDICARE
4P00961513OTHERMSPALMETTO RR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902853393
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN E LINN M.D.
Provider Business Mailing Address
First Line : 825 RIDGE LAKE BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-9411
Country : US
Telephone Number : 901-685-2200
Fax Number : 901-820-2342
Provider Business Practice Location Address
First Line : 825 RIDGE LAKE BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-9411
Country : US
Telephone Number : 901-685-2200
Fax Number : 901-820-2342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 01/15/2018

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Directions to “ JOHN E LINN M.D.” Practice Location

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