Provider Demographics
NPI:1609426394
Name:LINDSEY, LINDA RUTH
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:RUTH
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 SWIMMING POOL RD
Mailing Address - Street 2:
Mailing Address - City:GROVE HILL
Mailing Address - State:AL
Mailing Address - Zip Code:36451-4374
Mailing Address - Country:US
Mailing Address - Phone:334-357-1613
Mailing Address - Fax:
Practice Address - Street 1:708 SWIMMING POOL RD
Practice Address - Street 2:
Practice Address - City:GROVE HILL
Practice Address - State:AL
Practice Address - Zip Code:36451-4374
Practice Address - Country:US
Practice Address - Phone:334-357-1613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty