Provider Demographics
NPI:1043242274
Name:LINDEMAN, JOSEPH PAUL (DC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PAUL
Last Name:LINDEMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4936 WUNNENBERG WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4985
Mailing Address - Country:US
Mailing Address - Phone:513-860-5400
Mailing Address - Fax:513-870-0203
Practice Address - Street 1:4936 WUNNENBERG WAY
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4985
Practice Address - Country:US
Practice Address - Phone:513-860-5400
Practice Address - Fax:513-870-0203
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0882972Medicare ID - Type Unspecified