Provider Demographics
NPI:1548477391
Name:SPRINGER, DEBORAH ELLEN (DC)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ELLEN
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 OAKMONT LN APT 103
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR
Mailing Address - State:FL
Mailing Address - Zip Code:33756-1956
Mailing Address - Country:US
Mailing Address - Phone:727-460-2853
Mailing Address - Fax:
Practice Address - Street 1:100 OAKMONT LN APT 103
Practice Address - Street 2:
Practice Address - City:BELLEAIR
Practice Address - State:FL
Practice Address - Zip Code:33756-1956
Practice Address - Country:US
Practice Address - Phone:727-460-2853
Practice Address - Fax:727-533-5873
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2194111N00000X
MO275594111N00000X
FL8666111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1013161793OtherNPI SPRINGER CHIROPRACTIC CLINIC, INC.
FL000596000Medicaid
FL1548477391OtherNPI DEBORAH SPRINGER, DC