Provider Demographics
NPI:1285239566
Name:BENNETT, LINDSEY (DC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:BENNETT
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 1:9456 YALE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:48006-1420
Mailing Address - Country:US
Mailing Address - Phone:810-434-7015
Mailing Address - Fax:
Practice Address - Street 1:9456 YALE RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MI
Practice Address - Zip Code:48006-1420
Practice Address - Country:US
Practice Address - Phone:810-434-7015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301011023111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor