Provider Demographics
NPI:1053429316
Name:LINDQUIST, OZZIE JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:OZZIE
Middle Name:JOHN
Last Name:LINDQUIST
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 NE CRESTMOOR PL
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-1925
Mailing Address - Country:US
Mailing Address - Phone:515-963-8976
Mailing Address - Fax:
Practice Address - Street 1:16 E SOUTHRIDGE RD
Practice Address - Street 2:SUITE 1601
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4791
Practice Address - Country:US
Practice Address - Phone:641-752-2291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2017-09-27
Deactivation Date:2011-10-25
Deactivation Code:
Reactivation Date:2017-09-27
Provider Licenses
StateLicense IDTaxonomies
IAA05727111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor