Provider Demographics
NPI:1669079794
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:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-689-3230
Mailing Address - Street 1:1302 S. SHIELDS ST.
Mailing Address - Street 2:SUITE A1-2
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-4801
Mailing Address - Country:US
Mailing Address - Phone:970-689-3230
Mailing Address - Fax:
Practice Address - Street 1:1302 S. SHIELDS ST.
Practice Address - Street 2:SUITE A1-2
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-4801
Practice Address - Country:US
Practice Address - Phone:970-689-3230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center