Provider Demographics
NPI:1356386551
Name:HOECKELBERG, LINDA ANN (DC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:HOECKELBERG
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 1:350 W 80TH PL
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5432
Mailing Address - Country:US
Mailing Address - Phone:219-756-8408
Mailing Address - Fax:219-322-8738
Practice Address - Street 1:350 W 80TH PL
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5432
Practice Address - Country:US
Practice Address - Phone:219-756-8408
Practice Address - Fax:219-322-8738
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001566A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor