Provider Demographics
NPI:1649615667
Name:BREW, LINDSEY MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:MARIE
Last Name:BREW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 COLEMAN ST. N
Mailing Address - Street 2:SUITE NUMBER 106
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-1427
Mailing Address - Country:US
Mailing Address - Phone:701-751-4454
Mailing Address - Fax:701-751-4453
Practice Address - Street 1:4501 COLEMAN ST. N.
Practice Address - Street 2:SUITE 106
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-1427
Practice Address - Country:US
Practice Address - Phone:701-751-4454
Practice Address - Fax:701-751-4453
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND905111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor