Provider Demographics
NPI:1417026873
Name:SPRINGHILL, DALE EVERETT (DC)
Entity Type:Individual
Prefix:MR
First Name:DALE
Middle Name:EVERETT
Last Name:SPRINGHILL
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:PO BOX 230702
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99523-0702
Mailing Address - Country:US
Mailing Address - Phone:907-276-3800
Mailing Address - Fax:907-276-3810
Practice Address - Street 1:4045 LAKE OTIS PKWY STE 204
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5227
Practice Address - Country:US
Practice Address - Phone:907-276-3800
Practice Address - Fax:907-276-3810
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCHO240Medicaid
AKCHO240Medicaid