Spackman, Michael Bryon

Spackman, Michael Bryon is an sole proprietor health care provider with primary practice located at 360 E Montvue Dr Suite 100, Meridian ID 83642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Spackman, Michael Bryon can be contacted via phone (208) 855-2900.

Contact Information

Primary practice address
360 E Montvue Dr Suite 100 Meridian ID 83642
Phone: (208) 855-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X M11335 Idaho

Profile Details

NPI number 1386887032
LBN Legal business name Spackman, Michael Bryon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2009
Last updated Jul 11th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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