Healthcare Provider Details

I. General information

NPI: 1942209663
Provider Name (Legal Business Name): SPRINGER PROSTHETIC & ORTHOTIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 06/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N HOMER ST
LANSING MI
48912-4741
US

IV. Provider business mailing address

200 N HOMER ST
LANSING MI
48912-4741
US

V. Phone/Fax

Practice location:
  • Phone: 517-337-0300
  • Fax: 517-337-2262
Mailing address:
  • Phone: 517-337-0300
  • Fax: 517-337-2262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. LINDA K BURCHAM
Title or Position: BUSINESS MANAGER
Credential:
Phone: 517-337-0300