Lineberry, Mark D

Lineberry, Mark D is an individual health care provider with primary practice located at 1532 Lone Oak Rd Suite 415, Paducah KY 42003-7913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lineberry, Mark D can be contacted via phone (270) 442-0103.

Contact Information

Primary practice address
1532 Lone Oak Rd Suite 415 Paducah KY 42003-7913
Phone: (270) 442-0103
Fax: (270) 442-0109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 22917 Kentucky

Profile Details

NPI number 1477666469
LBN Legal business name Lineberry, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Apr 13th, 2015 - about 10 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 1477666469 NPPES
Other 028189499 DEPT OF LABOR
MEDICAID 64229172 DEPT OF LABOR
Other 060010637 DEPT OF LABOR

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