1427411586 NPI number — DR. ALLISON JOY SPRINGSTEAD MD

Table of content: DR. ALLISON JOY SPRINGSTEAD MD (NPI 1427411586)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427411586 NPI number — DR. ALLISON JOY SPRINGSTEAD MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SPRINGSTEAD
Provider First Name:
ALLISON
Provider Middle Name:
JOY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PIANOSI
Provider Other First Name:
ALLISON
Provider Other Middle Name:
JOY
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1427411586
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
FOREST HEALTH/ BARIX CLINICS
Provider Second Line Business Mailing Address:
135 S. PROSPECT ST.
Provider Business Mailing Address City Name:
YPSILANTI
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48198-7914
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-547-1060
Provider Business Mailing Address Fax Number:
734-547-1070

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
FOREST HEALTH/ BARIX CLINICS
Provider Second Line Business Practice Location Address:
135 S. PROSPECT ST.
Provider Business Practice Location Address City Name:
YPSILANTI
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48198
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-275-0661
Provider Business Practice Location Address Fax Number:
810-206-1958
Provider Enumeration Date:
04/05/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  4301505393 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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