=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922139625
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDA ANN HANSEN D.C.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/07/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3012 BUCK OWENS BLVD
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93308-6341
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-322-9480
-----------------------------------------------------
Fax | 661-322-0908
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3012 BUCK OWENS BLVD
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93308-6341
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-322-9480
-----------------------------------------------------
Fax | 661-322-0908
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CA20992
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------