Lin, Jerry W

Lin, Jerry W is an individual health care provider with primary practice located at 411 E Chestnut St # Street6 , Louisville KY 40202-1713. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Lin, Jerry W can be contacted via phone (502) 583-3687.

Contact Information

Primary practice address
411 E Chestnut St # Street6 Louisville KY 40202-1713
Phone: (502) 583-3687
Fax: (502) 588-7840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 0101253457 Virginia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X N0925 Texas
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X N0925 Texas
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 50410 Kentucky

Profile Details

NPI number 1356464689
LBN Legal business name Lin, Jerry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated May 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356464689 NPPES
Kentucky MEDICAID 7100478670
Kentucky MEDICAID 214396801

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