Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD065507L | PA |
Y | 111NI0900X | Internist | MD065507L | PA |
N | 207RA0401X | Internist - Addiction Medicine | MD065507L | PA |
N | 208000000X | Pediatrician | MD065507L | PA |
NPI | 1154315059 |
---|---|
Provider Name | Dr. Linda J Thomas-Hemak |
First Address | Jermyn, PA 18433-1121 |
Second Address | Jermyn, PA 18433-1121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2005 |
Last Update Date | 17/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1735887 | (05) | PA |