Provider Demographics
NPI:1558688267
Name:ACUPUNCTURE CHIROPRACTIC CENTER LLC
Entity Type:Organization
Organization Name:ACUPUNCTURE CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SPRINGFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DIPLAC
Authorized Official - Phone:970-330-2171
Mailing Address - Street 1:2116 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-6710
Mailing Address - Country:US
Mailing Address - Phone:970-330-2171
Mailing Address - Fax:970-339-2476
Practice Address - Street 1:2116 21ST AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-6710
Practice Address - Country:US
Practice Address - Phone:970-330-2171
Practice Address - Fax:970-339-2476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4770111N00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty