Provider Demographics
NPI:1629132527
Name:LINDSAY, MARK EVANS (BSC DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:EVANS
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:BSC DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR #2
Mailing Address - Street 2:
Mailing Address - City:WHITE LAKE
Mailing Address - State:ON
Mailing Address - Zip Code:KOA3LO
Mailing Address - Country:CA
Mailing Address - Phone:416-209-3191
Mailing Address - Fax:416-365-3220
Practice Address - Street 1:RR #2
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:ON
Practice Address - Zip Code:KOA3LO
Practice Address - Country:CA
Practice Address - Phone:416-209-3191
Practice Address - Fax:416-365-3220
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2531111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor