Provider Demographics
NPI:1477728095
Name:DR. LINDSEY HAMILTON DC INC
Entity Type:Organization
Organization Name:DR. LINDSEY HAMILTON DC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-656-2273
Mailing Address - Street 1:145 ROCHDALE DR S
Mailing Address - Street 2:SUITE A & B
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-2275
Mailing Address - Country:US
Mailing Address - Phone:248-656-2273
Mailing Address - Fax:248-656-1885
Practice Address - Street 1:1922 S ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-3534
Practice Address - Country:US
Practice Address - Phone:248-656-2273
Practice Address - Fax:248-656-1885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006879111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F35139OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI142636696Medicaid
MI142636696Medicaid