Provider Demographics
NPI:1912180720
Name:CALDWELL, LINDA M (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:M
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:AVENAL
Other - Middle Name:
Other - Last Name:CHIROPRACTIC OFFICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5750 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-1304
Mailing Address - Country:US
Mailing Address - Phone:510-569-9900
Mailing Address - Fax:510-569-9903
Practice Address - Street 1:5750 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-1304
Practice Address - Country:US
Practice Address - Phone:510-569-9900
Practice Address - Fax:510-569-9903
Is Sole Proprietor?:No
Enumeration Date:2007-12-14
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA209833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor