Individual
DR. LINDA HANEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-0323
(812) 996-0321
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-8478
(812) 996-0214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02001436
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000080998
ANTHEM BC
IN
01
—
02001436
INDIANA LICENSE
IN
05
—
200011110A
—
IN
01
—
930043000
RAILROAD MEDICARE B
IN
Enumeration date
12/19/2006
Last updated
09/25/2020
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