Provider Demographics
NPI:1043403298
Name:SCOTT M LINDQUIST DC PLLC
Entity Type:Organization
Organization Name:SCOTT M LINDQUIST DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LINDQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-326-2570
Mailing Address - Street 1:1207 NW BLVD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-4469
Mailing Address - Country:US
Mailing Address - Phone:509-326-2570
Mailing Address - Fax:509-326-2571
Practice Address - Street 1:1207 NW BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-4469
Practice Address - Country:US
Practice Address - Phone:509-326-2570
Practice Address - Fax:509-326-2571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU20870Medicare UPIN
WAGAB28522Medicare PIN