Provider Demographics
NPI:1659469104
Name:LINDSLEY, ALLAN JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:JAMES
Last Name:LINDSLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1565 195TH AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMER
Mailing Address - State:WI
Mailing Address - Zip Code:54724-3801
Mailing Address - Country:US
Mailing Address - Phone:715-568-1676
Mailing Address - Fax:
Practice Address - Street 1:1620 S HASTINGS WAY
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4620
Practice Address - Country:US
Practice Address - Phone:715-832-8414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4157111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor