MEDICARE: LINDA CAROL PALTER D.C.

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	2301007892	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871593681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA CAROL PALTER D.C.

Provider Business Mailing Address
First Line	:	857 W SUMMIT AVE
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49441-4047
Country	:	US
Telephone Number	:	231-755-3832
Fax Number	:	231-755-3835

Provider Business Practice Location Address
First Line	:	857 W SUMMIT AVE
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49441-4047
Country	:	US
Telephone Number	:	231-755-3832
Fax Number	:	231-755-3835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	10/26/2011

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