MEDICARE: DR. LINDA BERRY DC

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	111NN1001X	Nutrition Chiropractor	DC14314	CA

General Provider Information

NPI Number	:	1386785483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA BERRY DC

Provider Business Mailing Address
First Line	:	710 C ST
Second Line	:	SUITE 9
City	:	SAN RAFAEL
State	:	CA
Zip	:	94901-3857
Country	:	US
Telephone Number	:	415-847-3755
Fax Number	:

Provider Business Practice Location Address
First Line	:	916 SAN PABLO AVE
Second Line	:	SUITE A
City	:	ALBANY
State	:	CA
Zip	:	94706-2059
Country	:	US
Telephone Number	:	415-847-3755
Fax Number	:

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

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	05/16/2014

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Directions to “ DR. LINDA BERRY DC” Practice Location

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