Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 9400900 | NC |
NPI | 1023061629 |
---|---|
Provider Name | Dr. Eric O Lindbeck |
First Address | Greenville, NC 27834-7222 |
Second Address | Greenville, NC 27834-7222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
51990 | BCBS (01) | NC |
7951990 | (05) | NC |
F57150 | (02) | NC |