Provider Demographics
NPI:1780729970
Name:SCHNEIDER, DC, LINDA DIANE
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:DIANE
Last Name:SCHNEIDER, DC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:DIANE
Other - Last Name:SCHNEIDER, DC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:573 W SAN FRANCISCO ST
Mailing Address - Street 2:B
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87501-1881
Mailing Address - Country:US
Mailing Address - Phone:505-690-6161
Mailing Address - Fax:
Practice Address - Street 1:573 W SAN FRANCISCO ST
Practice Address - Street 2:B
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-1881
Practice Address - Country:US
Practice Address - Phone:505-690-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor