Provider Demographics
NPI:1508933664
Name:POWERS, LINDA MAY (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MAY
Last Name:POWERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2571 CALIFORNIA PARK DR STE 130
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-4042
Mailing Address - Country:US
Mailing Address - Phone:530-891-6333
Mailing Address - Fax:530-891-6346
Practice Address - Street 1:2571 CALIFORNIA PARK DR STE 130
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-4042
Practice Address - Country:US
Practice Address - Phone:530-891-6333
Practice Address - Fax:530-891-6346
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12729111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0127290Medicare ID - Type Unspecified