Healthcare Provider Details

I. General information

NPI: 1013223866
Provider Name (Legal Business Name): LINDSEY PILLING PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2010
Last Update Date: 03/26/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 COOPER AVE STE 3100
SAGINAW MI
48602-5182
US

IV. Provider business mailing address

1447 N HARRISON ST
SAGINAW MI
48602-4727
US

V. Phone/Fax

Practice location:
  • Phone: 989-583-7450
  • Fax: 989-583-7452
Mailing address:
  • Phone: 989-583-2833
  • Fax: 989-583-1440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number5601005838
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: