Spadaro, Russell

Spadaro, Russell is an sole proprietor health care provider with primary practice located at 2125 E Thousand Oaks Blvd # B-1 , Thousand Oaks CA 91362-2942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Spadaro, Russell can be contacted via phone (805) 493-1964.

Contact Information

Primary practice address
2125 E Thousand Oaks Blvd # B-1 Thousand Oaks CA 91362-2942
Fax: (805) 492-0614
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G55882 California

Profile Details

NPI number 1619948445
LBN Legal business name Spadaro, Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Aug 24th, 2022 - about 3 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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