Provider Demographics
NPI:1578719951
Name:CHRISTENSEN, LINDSEY CARTER (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:CARTER
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 N COLE RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-8644
Mailing Address - Country:US
Mailing Address - Phone:208-375-3500
Mailing Address - Fax:208-375-3716
Practice Address - Street 1:1100 N COLE RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-8644
Practice Address - Country:US
Practice Address - Phone:208-375-3500
Practice Address - Fax:208-375-3716
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-17
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1316111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor