Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC0125350 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC0125350 | CA |
NPI | 1356385207 |
---|---|
Provider Name | Dr. Linda W Shanks |
First Address | Sacramento, CA 95864-2607 |
Second Address | Sacramento, CA 95864-2607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 08/07/2007 |