Provider Demographics
NPI:1558823443
Name:LINDSEY, SARAH IRENE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:IRENE MARIE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:IRENE MARIE
Other - Last Name:VAN DAELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:192 MIDWAY AVE
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-6330
Mailing Address - Country:US
Mailing Address - Phone:248-807-9911
Mailing Address - Fax:
Practice Address - Street 1:136 N ORCHARD ST STE 3
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-9535
Practice Address - Country:US
Practice Address - Phone:386-222-2845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12771111NI0900X, 111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0900XChiropractic ProvidersChiropractorInternist
No111NN1001XChiropractic ProvidersChiropractorNutrition