Provider Demographics
NPI:1366510026
Name:HELMBERGER, LINDA ANN (D,C)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANN
Last Name:HELMBERGER
Suffix:
Gender:F
Credentials:D,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 E ROWENA ST
Mailing Address - Street 2:
Mailing Address - City:IVANHOE
Mailing Address - State:MN
Mailing Address - Zip Code:56142-9719
Mailing Address - Country:US
Mailing Address - Phone:507-694-1231
Mailing Address - Fax:504-694-1417
Practice Address - Street 1:366 E GEORGE ST
Practice Address - Street 2:
Practice Address - City:IVANHOE
Practice Address - State:MN
Practice Address - Zip Code:56142-9707
Practice Address - Country:US
Practice Address - Phone:507-694-1414
Practice Address - Fax:507-694-1417
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1747111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor