Provider Demographics
NPI:1902950918
Name:LINDSEY, AMBER JUNE (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:JUNE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:AMBER
Other - Middle Name:JUNE
Other - Last Name:SPECHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:820 E VILLA MARIA RD
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-5337
Mailing Address - Country:US
Mailing Address - Phone:979-779-2273
Mailing Address - Fax:
Practice Address - Street 1:820 E VILLA MARIA RD
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-5337
Practice Address - Country:US
Practice Address - Phone:979-779-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612032Medicare UPIN
TXV07114Medicare ID - Type Unspecified