Provider Demographics
NPI:1265472617
Name:POINDEXTER, STEPHANY LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHANY
Middle Name:LYNN
Last Name:POINDEXTER
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 1:9502 ELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-9468
Mailing Address - Country:US
Mailing Address - Phone:269-753-0947
Mailing Address - Fax:
Practice Address - Street 1:7 HERITAGE OAK LN
Practice Address - Street 2:SUITE1
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4283
Practice Address - Country:US
Practice Address - Phone:269-979-7814
Practice Address - Fax:269-979-7815
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009177111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor