Provider Demographics
NPI:1972729671
Name:LINSEY, ROBERT S (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:LINSEY
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 1:3105 EMMORTON RD
Mailing Address - Street 2:STE 2C
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2585
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3105 EMMORTON RD
Practice Address - Street 2:SUITE 2C
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2582
Practice Address - Country:US
Practice Address - Phone:410-838-6464
Practice Address - Fax:410-838-6464
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1569111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU39752Medicare UPIN