MEDICARE: DR. LINDSEY DAVID HAMILTON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	2301006879	MI

General Provider Information

NPI Number	:	1487701520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSEY DAVID HAMILTON D.C.

Provider Business Mailing Address
First Line	:	1922 S ROCHESTER RD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-3534
Country	:	US
Telephone Number	:	248-656-2273
Fax Number	:	248-656-1885

Provider Business Practice Location Address
First Line	:	1922 S ROCHESTER RD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-3534
Country	:	US
Telephone Number	:	248-656-2273
Fax Number	:	248-656-1885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	07/08/2007

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