Provider Demographics
NPI:1487747754
Name:LINDAUER, JOSHUA (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:LINDAUER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 ROUTE 6A
Mailing Address - Street 2:SUITE 3
Mailing Address - City:YARMOUTH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675-1900
Mailing Address - Country:US
Mailing Address - Phone:508-362-2945
Mailing Address - Fax:508-362-2946
Practice Address - Street 1:477 ROUTE 6A
Practice Address - Street 2:SUITE 3
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675-1900
Practice Address - Country:US
Practice Address - Phone:508-362-2945
Practice Address - Fax:508-362-2946
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2313111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36616OtherBCBS OF MA
MA807922OtherHARVARD PILGRIM HEALTHCAR
MA807922OtherHARVARD PILGRIM HEALTHCAR
MAY45220Medicare ID - Type Unspecified