Provider Demographics
NPI:1053471565
Name:LINDERMAN, RONALD DEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DEAN
Last Name:LINDERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W HIGHWAY 6
Mailing Address - Street 2:SUITE 607
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-7923
Mailing Address - Country:US
Mailing Address - Phone:254-751-1606
Mailing Address - Fax:866-571-1622
Practice Address - Street 1:200 W HIGHWAY 6
Practice Address - Street 2:SUITE 607
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-7923
Practice Address - Country:US
Practice Address - Phone:254-751-1606
Practice Address - Fax:866-571-1622
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4473111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT14420Medicare UPIN