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SPRINGFIELD SPORT & SPINE LLC NPI 1396070736


NPI Information

NPI: 1396070736
Provider Name: SPRINGFIELD SPORT & SPINE, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1358 E KINGSLEY ST
SUITE C
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 877-1310
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SPRINGFIELD SPORT & SPINE, LLC is a chiropractor in Springfield, MO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SPRINGFIELD SPORT & SPINE, LLC NPI is 1396070736. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1358 E KINGSLEY ST
SUITE C
SPRINGFIELD, MO
ZIP 65804-216
Phone: (417) 877-1310
Fax: (417) 877-0335

The provider's authorized official is Tiffany Schafer .
The authorized official title is Owner and has the following contact phone number (417) 877-1310.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 10/2/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2009000027MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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