Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 11799 | WV |
NPI | 1003842246 |
---|---|
Provider Name | George J Linsenmeyer III |
First Address | Huntington, WV 25705 |
Second Address | Ashland, KY 41101-2868 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 01/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0086921000 | (05) | WV |
0487807 | (05) | OH |
060047494 | MEDICARE RAILROAD (01) | |
6407225 | (05) | KY |
A72625 | (02) |