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NPI Code Detail

MEDICARE: NATHANIEL LINGER M.D.

MEDICARE: NATHANIEL LINGER 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician28513WV

General Provider Information

NPI Number : 1942656400
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANIEL LINGER M.D.
Provider Business Mailing Address
First Line : 78 QUEENS ALLEY RD
Second Line :
City : ROCK CAVE
State : WV
Zip : 26234-5890
Country : US
Telephone Number : 304-924-6262
Fax Number : 304-924-5460
Provider Business Practice Location Address
First Line : 78 QUEENS ALLEY RD
Second Line :
City : ROCK CAVE
State : WV
Zip : 26234-5890
Country : US
Telephone Number : 304-924-6262
Fax Number : 304-924-5460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2016
Last Update Date : 08/31/2022

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Directions to “ NATHANIEL LINGER M.D.” Practice Location

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