Provider Demographics
NPI:1609566827
Name:AUGUSTINE, LINDSEY BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:BETH
Last Name:AUGUSTINE
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 1:1400 MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-3641
Mailing Address - Country:US
Mailing Address - Phone:785-251-3474
Mailing Address - Fax:
Practice Address - Street 1:1400 MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-3641
Practice Address - Country:US
Practice Address - Phone:785-251-3474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2024-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06291111N00000X
MO2023001050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor