Provider Demographics
NPI:1770839904
Name:HIGGINS, LINDSAY NICHOLE (DC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:NICHOLE
Last Name:HIGGINS
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 1:8498 N HIGGINS LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ROSCOMMON
Mailing Address - State:MI
Mailing Address - Zip Code:48653-9003
Mailing Address - Country:US
Mailing Address - Phone:989-390-9080
Mailing Address - Fax:
Practice Address - Street 1:1447 S OTSEGO AVE
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-7739
Practice Address - Country:US
Practice Address - Phone:989-732-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor