Provider Demographics
NPI:1386765956
Name:LINN, CARRIE JANE (DC)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:JANE
Last Name:LINN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CARRIE
Other - Middle Name:JANE
Other - Last Name:KLIMKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 4394
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80155-4394
Mailing Address - Country:US
Mailing Address - Phone:720-493-8410
Mailing Address - Fax:720-889-1900
Practice Address - Street 1:6860 S YOSEMITE CT
Practice Address - Street 2:SUITE 2000
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1409
Practice Address - Country:US
Practice Address - Phone:720-493-8410
Practice Address - Fax:720-889-1900
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3877111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition