Provider Demographics
NPI:1619976594
Name:WOODWORTH, LINDA LEIGH (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LEIGH
Last Name:WOODWORTH
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 1:2199 N WILLIAMSON RD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:16917-9512
Mailing Address - Country:US
Mailing Address - Phone:570-659-5811
Mailing Address - Fax:570-659-5066
Practice Address - Street 1:2199 N WILLIAMSON RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:PA
Practice Address - Zip Code:16917-9512
Practice Address - Country:US
Practice Address - Phone:570-659-5811
Practice Address - Fax:570-659-5066
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004224L111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAWO580326OtherBLUE SHIELD OF PA
PA810611OtherFIRST PRIORITY HEALTH
PAWO580326OtherBLUE SHIELD OF PA
PA10824Medicare UPIN