Provider Demographics
NPI:1972736213
Name:LINDSEY, MICHAEL (HAD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 SANDHURST CIR
Mailing Address - Street 2:UNIT 5
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-6668
Mailing Address - Country:US
Mailing Address - Phone:219-769-1222
Mailing Address - Fax:219-769-2054
Practice Address - Street 1:9120 CONNECTICUT ST
Practice Address - Street 2:SUITE C
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7014
Practice Address - Country:US
Practice Address - Phone:219-769-1222
Practice Address - Fax:219-769-2054
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001317A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist