Provider Demographics
NPI:1841285624
Name:LINDER, MYRON H (DC)
Entity type:Individual
Prefix:DR
First Name:MYRON
Middle Name:H
Last Name:LINDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 N ALDER ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-2699
Mailing Address - Country:US
Mailing Address - Phone:509-962-2570
Mailing Address - Fax:509-962-4668
Practice Address - Street 1:1011 N ALDER ST
Practice Address - Street 2:SUITE 1
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-2699
Practice Address - Country:US
Practice Address - Phone:509-962-2570
Practice Address - Fax:509-962-4668
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-16
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001978111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2000685Medicaid
WA2000685Medicaid