Individual
TRISTAN K LINEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 E MAIN ST, PROVIDENCE, KY 42450-1261
(270) 667-7017
Mailing address
PO BOX 37, PROVIDENCE, KY 42450-0037
(270) 667-7017
(270) 667-9065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21614
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044292
BCBS PROVIDER NUMBER
—
01
—
21614
LICENSE
KY
05
—
64216146
—
KY
Enumeration date
09/16/2006
Last updated
03/02/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us