Provider Demographics
NPI:1942209663
Name:SPRINGER PROSTHETIC & ORTHOTIC SERVICES INC
Entity Type:Organization
Organization Name:SPRINGER PROSTHETIC & ORTHOTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BURCHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-337-0300
Mailing Address - Street 1:200 N HOMER ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-4741
Mailing Address - Country:US
Mailing Address - Phone:517-337-0300
Mailing Address - Fax:517-337-2262
Practice Address - Street 1:200 N HOMER ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-4741
Practice Address - Country:US
Practice Address - Phone:517-337-0300
Practice Address - Fax:517-337-2262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-15
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0460890001Medicare NSC