Provider Demographics
NPI:1093191546
Name:LIN CHIROPRACTIC INC
Entity type:Organization
Organization Name:LIN CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHIEN-HEN
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-996-9686
Mailing Address - Street 1:20538 MANOR DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-3052
Mailing Address - Country:US
Mailing Address - Phone:408-996-9686
Mailing Address - Fax:
Practice Address - Street 1:19028 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2560
Practice Address - Country:US
Practice Address - Phone:408-996-9686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty