Provider Demographics
NPI:1467107904
Name:LINDSEY, JERMAINE ALLEN (DC)
Entity Type:Individual
Prefix:
First Name:JERMAINE
Middle Name:ALLEN
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 WILLOW CT
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-1477
Mailing Address - Country:US
Mailing Address - Phone:561-329-9671
Mailing Address - Fax:
Practice Address - Street 1:703 WILLOW CT
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-1477
Practice Address - Country:US
Practice Address - Phone:561-329-9671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003278A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor