Provider Demographics
NPI:1902939838
Name:LIN, STEVEN H (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:H
Last Name:LIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2843 DUKE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4512
Mailing Address - Country:US
Mailing Address - Phone:703-823-2357
Mailing Address - Fax:703-823-1572
Practice Address - Street 1:2843 DUKE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4512
Practice Address - Country:US
Practice Address - Phone:703-823-2357
Practice Address - Fax:703-823-1572
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103001006213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA37870004OtherCAREFIRST BCBS
VA015105R02Medicare PIN
VAU89002Medicare UPIN
VAG00002Medicare ID - Type Unspecified