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Individual
BRAD L LINICK
Active
Individual
BRAD L LINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2543
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235436619
GROUP PRACTICE NPI
SC
01
—
1285930180
INDIVIDUAL NPI
SC
01
—
5316
MEDICARE PTAN
SC
Enumeration date
02/10/2011
Last updated
03/21/2011
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