Provider Demographics
NPI:1962572313
Name:SPEIR CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:SPEIR CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SPEIR
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:618-445-3455
Mailing Address - Street 1:7 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:IL
Mailing Address - Zip Code:62806-1021
Mailing Address - Country:US
Mailing Address - Phone:618-445-3455
Mailing Address - Fax:618-445-3411
Practice Address - Street 1:7 N 5TH ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:IL
Practice Address - Zip Code:62806-1021
Practice Address - Country:US
Practice Address - Phone:618-445-3455
Practice Address - Fax:618-445-3411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02432003OtherBLUE CROSS-BLUE SHIELD
IL212136Medicare ID - Type UnspecifiedGROUP NUMBER