MEDICARE: DR. LENI KAREN SINCLAIR

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	21972	CA

General Provider Information

NPI Number	:	1093843930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LENI KAREN SINCLAIR

Provider Business Mailing Address
First Line	:	HC 1 BOX 11B
Second Line	:
City	:	CEDARVILLE
State	:	CA
Zip	:	96104-9601
Country	:	US
Telephone Number	:	530-279-2052
Fax Number	:	775-367-1106

Provider Business Practice Location Address
First Line	:	HC 1 BOX 11B
Second Line	:
City	:	CEDARVILLE
State	:	CA
Zip	:	96104-9601
Country	:	US
Telephone Number	:	530-279-2052
Fax Number	:	775-367-1106

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/08/2007

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