Provider Demographics
NPI:1821608951
Name:LINDSTADT, JOSIAH DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSIAH
Middle Name:DAVID
Last Name:LINDSTADT
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 1:501 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-3035
Mailing Address - Country:US
Mailing Address - Phone:970-522-3260
Mailing Address - Fax:970-522-3261
Practice Address - Street 1:501 W MAIN ST
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-3035
Practice Address - Country:US
Practice Address - Phone:970-522-3260
Practice Address - Fax:970-522-3261
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR-0008215111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor