Provider Demographics
NPI:1437559440
Name:LINDER CHIROPRACTIC
Entity Type:Organization
Organization Name:LINDER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:LINDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-373-9696
Mailing Address - Street 1:PO BOX 1462
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-1462
Mailing Address - Country:US
Mailing Address - Phone:561-373-9696
Mailing Address - Fax:
Practice Address - Street 1:2324 S CONGRESS AVE
Practice Address - Street 2:1J
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-7669
Practice Address - Country:US
Practice Address - Phone:561-373-9696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty