Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 01075636A | IN |
Y | 207X00000X | Orthopaedic Surgeon | 18273 | WI |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A80049 | CA |
NPI | 1144270497 |
---|---|
Provider Name | David Da-Wei Lin |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Lima, OH 45805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 15/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300005571 | (05) | IN |
3003707 | (05) | OH |
H93538 | (02) | CA |