Provider Demographics
NPI:1790762151
Name:LINDSEY, EARVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:EARVIN
Middle Name:
Last Name:LINDSEY
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 1:2315 LURLEEN B WALLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476
Mailing Address - Country:US
Mailing Address - Phone:205-339-0001
Mailing Address - Fax:205-339-0020
Practice Address - Street 1:2315 LURLEEN B WALLACE BLVD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3947
Practice Address - Country:US
Practice Address - Phone:205-339-0001
Practice Address - Fax:205-339-0020
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-28
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
350049772OtherRAIL ROAD MEDICARE
7813719001OtherCIGNA
7813719001OtherCIGNA
350049772OtherRAIL ROAD MEDICARE