Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 35060102 | OH |
NPI | 1013917426 |
---|---|
Provider Name | Ron Linehan |
First Address | Cincinnati, OH 45246-3604 |
Second Address | Lancaster, OH 43130-9059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 24/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2058973 | (05) | OH |
F56041 | (02) |