Provider Demographics
NPI:1275861601
Name:LINDSAY ORTH CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:LINDSAY ORTH CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-230-6013
Mailing Address - Street 1:2210 ENCINITAS BLVD
Mailing Address - Street 2:SUITE J1
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4358
Mailing Address - Country:US
Mailing Address - Phone:760-230-6013
Mailing Address - Fax:
Practice Address - Street 1:2210 ENCINITAS BLVD
Practice Address - Street 2:SUITE J1
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4358
Practice Address - Country:US
Practice Address - Phone:760-230-6013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty