=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972704997
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAROLINE EUGENIA LINDENBECK DC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/29/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1340 MATTHEWS TOWNSHIP PKWY
-----------------------------------------------------
City | MATTHEWS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28105-5580
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-845-8499
-----------------------------------------------------
Fax | 704-845-5321
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2526 CROSS COUNTRY RD
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28270-0738
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-501-7930
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 3720
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------