Provider Demographics
NPI:1083947410
Name:SPRINGTIME HEALTH AND WELLNESS, SC
Entity Type:Organization
Organization Name:SPRINGTIME HEALTH AND WELLNESS, SC
Other - Org Name:SPRINGTIME CHIROPRACTIC SC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/ CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:LENZ
Authorized Official - Last Name:LENZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-274-6200
Mailing Address - Street 1:1001 S WHITNEY WAY
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-6274
Mailing Address - Country:US
Mailing Address - Phone:608-274-6200
Mailing Address - Fax:608-278-4586
Practice Address - Street 1:1001 S WHITNEY WAY
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-6274
Practice Address - Country:US
Practice Address - Phone:608-274-6200
Practice Address - Fax:608-278-4586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1871569939OtherIND NPI
WI1740251644OtherIND NPI
WI1932486370OtherIND NPI
WI1679771760OtherIND NPI