MEDICARE: ALLIED MULTICARE CENTERS LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4473	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00342U	OTHER		CLINIC PTAN

General Provider Information

NPI Number	:	1073772414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED MULTICARE CENTERS LTD.

Provider Business Mailing Address
First Line	:	200 W HIGHWAY 6
Second Line	:	SUITE 607
City	:	WACO
State	:	TX
Zip	:	76712-7923
Country	:	US
Telephone Number	:	254-751-1606
Fax Number	:	866-571-1622

Provider Business Practice Location Address
First Line	:	200 W HIGHWAY 6
Second Line	:	SUITE 607
City	:	WACO
State	:	TX
Zip	:	76712-7923
Country	:	US
Telephone Number	:	254-751-1606
Fax Number	:	866-571-1622

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RONALD DEAN LINDERMAN
Credential	:	D.C
Telephone Number	:	254-751-1606

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	07/07/2010

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