Provider Demographics
NPI:1649357286
Name:SPRINGFIELD, MICHAEL JAMES (DC, DIPLAC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAMES
Last Name:SPRINGFIELD
Suffix:
Gender:M
Credentials:DC, DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 W 27TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8006
Mailing Address - Country:US
Mailing Address - Phone:970-330-2171
Mailing Address - Fax:970-339-2476
Practice Address - Street 1:2403 W 27TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-8006
Practice Address - Country:US
Practice Address - Phone:970-330-2171
Practice Address - Fax:970-339-2476
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4770111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO4770OtherSTATE LICENSE
COU79256Medicare UPIN
COC48883Medicare ID - Type Unspecified