Provider Demographics
NPI:1376140616
Name:SPRINGFIELD CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SPRINGFIELD CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NORBURG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:912-765-3218
Mailing Address - Street 1:505 N LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:GA
Mailing Address - Zip Code:31329-6815
Mailing Address - Country:US
Mailing Address - Phone:912-754-3218
Mailing Address - Fax:912-754-3223
Practice Address - Street 1:505 N LAUREL ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:GA
Practice Address - Zip Code:31329-6815
Practice Address - Country:US
Practice Address - Phone:912-754-3218
Practice Address - Fax:912-754-3223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty