Provider Demographics
NPI:1063719649
Name:JOHNSTON, LINDSAY J (DC)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:J
Last Name:JOHNSTON
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 1:214 W 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-3532
Mailing Address - Country:US
Mailing Address - Phone:906-635-5892
Mailing Address - Fax:906-635-5937
Practice Address - Street 1:214 W 14TH AVE
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-3532
Practice Address - Country:US
Practice Address - Phone:906-635-5892
Practice Address - Fax:906-635-5937
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor