Provider Demographics
NPI:1316944218
Name:LINDER, MAX W (MD)
Entity type:Individual
Prefix:
First Name:MAX
Middle Name:W
Last Name:LINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6068
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-0068
Mailing Address - Country:US
Mailing Address - Phone:402-484-9000
Mailing Address - Fax:402-483-4223
Practice Address - Street 1:1710 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1676
Practice Address - Country:US
Practice Address - Phone:402-484-9000
Practice Address - Fax:402-483-4223
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13104207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEP00077278OtherRAILROAD MEDICARE
NE10025619700Medicaid
NE1375OtherBLUE SHIELD
B67979Medicare UPIN
NE272853Medicare ID - Type Unspecified