Provider Demographics
NPI:1508260324
Name:LINDSEY, CHRISTINE COLLETTE (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:COLLETTE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:COLLETTE
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:45600 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-5072
Mailing Address - Country:US
Mailing Address - Phone:734-983-0100
Mailing Address - Fax:
Practice Address - Street 1:45600 CHERRY HILL RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-5072
Practice Address - Country:US
Practice Address - Phone:734-983-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009742111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2301009742OtherSTATE LICENSE