Basic Information
| Provider Information | |||||||||
| NPI: | 1831429190 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUMBARGAR | ||||||||
| FirstName: | LINNE | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 160 | ||||||||
| Address2: | PATIENT FINANCIAL SERVICES | ||||||||
| City: | LITTLETON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6032597627 | ||||||||
| FaxNumber: | 6032597561 | ||||||||
| Practice Location | |||||||||
| Address1: | 580 ST. JOHNSBURY RD. | ||||||||
| Address2: | |||||||||
| City: | LITTLETON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034447070 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2010 | ||||||||
| LastUpdateDate: | 09/09/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | PAL-2962 | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.