Provider Demographics
NPI:1437280211
Name:CHERF, LINDA MARIE (CA)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:MARIE
Last Name:CHERF
Suffix:
Gender:F
Credentials:CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 S RIVERSIDE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1500
Mailing Address - Country:US
Mailing Address - Phone:608-365-6771
Mailing Address - Fax:208-906-2390
Practice Address - Street 1:3005 S RIVERSIDE DR STE 201
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1500
Practice Address - Country:US
Practice Address - Phone:608-365-6771
Practice Address - Fax:208-906-2390
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2022-02-25
Deactivation Date:2021-01-15
Deactivation Code:
Reactivation Date:2021-02-09
Provider Licenses
StateLicense IDTaxonomies
WI357-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist