Healthcare Provider Details

I. General information

NPI: 1477728095
Provider Name (Legal Business Name): DR. LINDSEY HAMILTON DC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 09/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1922 S ROCHESTER RD
ROCHESTER HILLS MI
48307-3534
US

IV. Provider business mailing address

145 ROCHDALE DR S SUITE A & B
ROCHESTER HILLS MI
48309-2275
US

V. Phone/Fax

Practice location:
  • Phone: 248-656-2273
  • Fax: 248-656-1885
Mailing address:
  • Phone: 248-656-2273
  • Fax: 248-656-1885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number2301006879
License Number StateMI

VIII. Authorized Official

Name: DR. LINDSEY DAVID HAMILTON
Title or Position: OWNER
Credential: D.C.
Phone: 248-656-2273