Chad Lindsay

Individual provider Active NPI Contractor · Cowley, WY

NPI 1477849453 · NPPES record last updated Nov 1, 2016

Key facts

NPI
1477849453
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
831 Hwy 35
Cowley, WY 82420-0660
Phone
(307) 899-0174
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

831 Hwy 35
Cowley, WY 82420-0660

Mailing address

PO Box 660
831 Hwy 35
Cowley, WY 82420-0660
Phone (307) 899-0174

Other identifiers

IdentifierTypeStateIssuer
CAP - 158OtherWYWYOMING MENTAL HEALTH PROFESSIONALS LICENSING BOARD

Other providers in Cowley, WY

All providers in Cowley, WY · Contractor in Wyoming

Sources for this page

Verify at the official NPI Registry.