Individual
LINDA SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4778 S SCATTERFIELD RD, ANDERSON, IN 46013-2908
(765) 646-6331
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
01036848A
IN
207P00000X
Emergency Medicine Physician
Primary
01036848A
IN
207Q00000X
Family Medicine Physician
01036848A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100463290
—
IN
01
—
930126118
MEDICARE RR
IN
Enumeration date
06/17/2005
Last updated
12/24/2014
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