Provider Demographics
NPI:1356385207
Name:SHANKS, LINDA W (DC)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:W
Last Name:SHANKS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:W
Other - Last Name:SHANKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1631 EXECUTIVE CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-2607
Mailing Address - Country:US
Mailing Address - Phone:916-488-8400
Mailing Address - Fax:916-488-0461
Practice Address - Street 1:1631 EXECUTIVE CT
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-2607
Practice Address - Country:US
Practice Address - Phone:916-488-8400
Practice Address - Fax:916-488-0461
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0125350111N00000X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedic