Provider Demographics
NPI:1922158211
Name:LINDSEY, ROBERT JAMES (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:JAMES
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 1:470 W 78TH ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-4524
Mailing Address - Country:US
Mailing Address - Phone:952-949-0676
Mailing Address - Fax:952-949-0868
Practice Address - Street 1:470 W 78TH ST
Practice Address - Street 2:SUITE 120
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-4524
Practice Address - Country:US
Practice Address - Phone:952-949-0676
Practice Address - Fax:952-949-0868
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN552952000Medicaid
MN086K9LIOtherBLUE CROSS
MN552952000Medicaid