MEDICARE: SPRINGER CHIROPRACTIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN1001X	Nutrition Chiropractor

General Provider Information

NPI Number	:	1508635871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGER CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	4645 HOLLYWOOD BLVD STE 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5455
Country	:	US
Telephone Number	:	323-661-1183
Fax Number	:	323-661-9005

Provider Business Practice Location Address
First Line	:	4645 HOLLYWOOD BLVD STE 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5455
Country	:	US
Telephone Number	:	323-661-1183
Fax Number	:	323-661-9005

Authorized Official
Title or Position	:	OWNER
Name	:	NEAL SPRINGER
Credential	:	DC
Telephone Number	:	323-855-7889

Provider Enumeration Date	:	12/27/2023
Last Update Date	:	12/27/2023

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