Provider Demographics
NPI:1770617219
Name:WHITE-WOIWODE, LINDSEY JOANN (DC)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:JOANN
Last Name:WHITE-WOIWODE
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 1:3108 S BROADWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-3127
Mailing Address - Country:US
Mailing Address - Phone:701-852-3232
Mailing Address - Fax:701-852-3183
Practice Address - Street 1:3108 S BROADWAY
Practice Address - Street 2:SUITE B
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-3127
Practice Address - Country:US
Practice Address - Phone:701-852-3232
Practice Address - Fax:701-852-3183
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND789111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDV12340Medicare UPIN
NDN712534Medicare PIN