Provider Demographics
NPI:1982440475
Name:LINDENBERGER, EMMA RANEE
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:RANEE
Last Name:LINDENBERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HURON ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2221
Mailing Address - Country:US
Mailing Address - Phone:419-677-7361
Mailing Address - Fax:
Practice Address - Street 1:277 TOWNSHIP ROAD 350
Practice Address - Street 2:
Practice Address - City:SULLIVAN
Practice Address - State:OH
Practice Address - Zip Code:44880-9701
Practice Address - Country:US
Practice Address - Phone:419-921-6598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant