Provider Demographics
NPI:1386719615
Name:BUDD, CARLINDA LEE (DC)
Entity type:Individual
Prefix:
First Name:CARLINDA
Middle Name:LEE
Last Name:BUDD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 89185
Mailing Address - Street 2:
Mailing Address - City:TUSCON
Mailing Address - State:AZ
Mailing Address - Zip Code:85752-9185
Mailing Address - Country:US
Mailing Address - Phone:520-575-5752
Mailing Address - Fax:520-878-9947
Practice Address - Street 1:2900 W LENA WAY
Practice Address - Street 2:
Practice Address - City:TUSCON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3068
Practice Address - Country:US
Practice Address - Phone:520-575-5752
Practice Address - Fax:520-878-9941
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4179111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0232630OtherBCBS
AZ23104179OtherSTATE COMPENSATION FUND
AZ23104179OtherSTATE COMPENSATION FUND
102611Medicare ID - Type Unspecified