Healthcare Provider Details

I. General information

NPI: 1609422328
Provider Name (Legal Business Name): LINDSEY BISCHOFF CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2019
Last Update Date: 10/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 E 136TH AVE STE 110
THORNTON CO
80241-3542
US

IV. Provider business mailing address

2355 STOUT ST
DENVER CO
80205-2935
US

V. Phone/Fax

Practice location:
  • Phone: 303-999-3950
  • Fax:
Mailing address:
  • Phone: 513-238-3576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0995004
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: