Lindholm, John A

Lindholm, John A is an individual health care provider with primary practice located at 301 S Roosevelt Dr , Beaver Dam WI 53916. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Lindholm, John A can be contacted via phone (920) 885-6434.

Contact Information

Primary practice address
301 S Roosevelt Dr Beaver Dam WI 53916
Phone: (920) 885-6434
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 459 Wisconsin
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 459 Wisconsin
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 459 Wisconsin

Profile Details

NPI number 1639240641
LBN Legal business name Lindholm, John A
Credentials OPM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639240641 NPPES
Wisconsin MEDICAID 43208300

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