Healthcare Provider Details

I. General information

NPI: 1205773330
Provider Name (Legal Business Name): MICHELLE O LINDSAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FIFTH STREET
ELKINS WV
26241
US

IV. Provider business mailing address

PO BOX 727
ELKINS WV
26241-0727
US

V. Phone/Fax

Practice location:
  • Phone: 304-636-4747
  • Fax: 304-636-7724
Mailing address:
  • Phone: 304-636-4747
  • Fax: 304-636-7724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: