Provider Demographics
NPI:1578558870
Name:LINDSEY, EVERETT R (MD)
Entity Type:Individual
Prefix:DR
First Name:EVERETT
Middle Name:R
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MINERAL POINT
Mailing Address - State:WI
Mailing Address - Zip Code:53565-1289
Mailing Address - Country:US
Mailing Address - Phone:608-987-2346
Mailing Address - Fax:608-987-2490
Practice Address - Street 1:104 HIGH ST
Practice Address - Street 2:
Practice Address - City:MINERAL POINT
Practice Address - State:WI
Practice Address - Zip Code:53565-1289
Practice Address - Country:US
Practice Address - Phone:608-987-2346
Practice Address - Fax:608-987-2490
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI19191174400000X, 207V00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV30286400Medicaid
WI27070-0001Medicare UPIN
WIB54603Medicare UPIN