Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 20423 | KY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 50263 | OH |
NPI | 1053316380 |
---|---|
Provider Name | Thomas N. Lindenfeld |
First Address | Cincinnati, OH 45242-4403 |
Second Address | Cincinnati, OH 45242-1613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 15/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
656991 | (05) | OH |
A81498 | (02) |