1912530650 NPI number — JACQUELINE DORIS LINDSAY OWDS

Table of content: JACQUELINE DORIS LINDSAY OWDS (NPI 1912530650)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912530650 NPI number — JACQUELINE DORIS LINDSAY OWDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LINDSAY
Provider First Name:
JACQUELINE
Provider Middle Name:
DORIS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
OWDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912530650
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/21/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1018 SW CLAY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOPEKA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66604-1114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-817-3666
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1430 SW TOPEKA BLVD
Provider Second Line Business Practice Location Address:
TOPEKA, KANSAS 66612
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66601-6660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-296-0513
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/21/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 373H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)