Provider Demographics
NPI:1376713487
Name:SPRINGS CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:SPRINGS CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:KNOCHE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-531-7188
Mailing Address - Street 1:1802 CHAPEL HILLS DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3765
Mailing Address - Country:US
Mailing Address - Phone:719-531-7188
Mailing Address - Fax:719-531-0880
Practice Address - Street 1:1802 CHAPEL HILLS DR
Practice Address - Street 2:SUITE E
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3765
Practice Address - Country:US
Practice Address - Phone:719-531-7188
Practice Address - Fax:719-531-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2567111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO801808Medicare PIN