Provider Demographics
NPI:1154401487
Name:WHITNEY, LINDSEY MICHELLE (DC)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LINDSEY
Other - Middle Name:MICHELLE
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:722 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IN
Mailing Address - Zip Code:47620-1960
Mailing Address - Country:US
Mailing Address - Phone:812-838-6768
Mailing Address - Fax:812-838-6468
Practice Address - Street 1:722 MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IN
Practice Address - Zip Code:47620-1960
Practice Address - Country:US
Practice Address - Phone:812-838-6768
Practice Address - Fax:812-838-6468
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002158A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200502840Medicaid
INV03480Medicare UPIN
IN200502840Medicaid