Provider Demographics
NPI:1871750828
Name:LINDHOLM, HEIDI SARAH
Entity type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:SARAH
Last Name:LINDHOLM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 RAILROAD AVENUE
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95963
Mailing Address - Country:US
Mailing Address - Phone:530-865-6725
Mailing Address - Fax:
Practice Address - Street 1:1005 RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963
Practice Address - Country:US
Practice Address - Phone:530-865-6725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator