Lineback, Wilbur George

Lineback, Wilbur George is an sole proprietor health care provider with primary practice located at 2104 W Michigan Ave , Midland TX 79701-5928. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Lineback, Wilbur George can be contacted via phone (432) 570-9552.

Contact Information

Primary practice address
2104 W Michigan Ave Midland TX 79701-5928
Fax: (432) 570-9859
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X K1528 Texas
Other Service Providers / Specialist 174400000X K1528 Texas

Profile Details

NPI number 1831294446
LBN Legal business name Lineback, Wilbur George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Jun 14th, 2024 - about last year

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 1831294446 NPPES
Texas MEDICAID 1137457-01

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