Provider Demographics
NPI:1366963415
Name:MARC E LINDHOUT D C INC
Entity type:Organization
Organization Name:MARC E LINDHOUT D C INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:LINDHOUT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:231-777-2622
Mailing Address - Street 1:1921 E APPLE AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-4478
Mailing Address - Country:US
Mailing Address - Phone:231-777-2622
Mailing Address - Fax:231-777-4814
Practice Address - Street 1:1921 E APPLE AVE STE A
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-4478
Practice Address - Country:US
Practice Address - Phone:231-777-2622
Practice Address - Fax:231-777-4814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008027111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty