Spagnola, Alan Michael

Spagnola, Alan Michael is an individual health care provider with primary practice located at 10 Wildwood Medical Ctr , Essex CT 06426-1154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Spagnola, Alan Michael can be contacted via phone (860) 767-0145.

Contact Information

Primary practice address
10 Wildwood Medical Ctr Essex CT 06426-1154
Phone: (860) 767-0145
Fax: (860) 767-0021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 019375 Connecticut
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 019375 Connecticut

Profile Details

NPI number 1023032208
LBN Legal business name Spagnola, Alan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated May 30th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023032208 NPPES
Connecticut MEDICAID 001193754

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