Healthcare Provider Details

I. General information

NPI: 1326142530
Provider Name (Legal Business Name): ROBERT L LINDBERG DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 N WEST STATE RD
AMERICAN FORK UT
84003-1486
US

IV. Provider business mailing address

98 N WEST STATE RD
AMERICAN FORK UT
84003-1486
US

V. Phone/Fax

Practice location:
  • Phone: 801-756-0111
  • Fax: 801-763-9063
Mailing address:
  • Phone: 801-756-0111
  • Fax: 801-763-9063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: