Provider Demographics
NPI:1043349459
Name:DR LINDA OLIVER CHIROPRACTIC INC
Entity Type:Organization
Organization Name:DR LINDA OLIVER CHIROPRACTIC INC
Other - Org Name:HEALTH POINT WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:858-457-1925
Mailing Address - Street 1:9450 SCRANTON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-4720
Mailing Address - Country:US
Mailing Address - Phone:858-457-1925
Mailing Address - Fax:858-457-1927
Practice Address - Street 1:9450 SCRANTON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-4720
Practice Address - Country:US
Practice Address - Phone:858-457-1925
Practice Address - Fax:858-457-1927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29314111N00000X
CADC28933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W18584Medicare ID - Type UnspecifiedGROUP ID