Spahn, Martin Stefan

Spahn, Martin Stefan is an sole proprietor health care provider with primary practice located at 211 Founders Park Dr Suite 3, Rapid City SD 57701-8098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Spahn, Martin Stefan can be contacted via phone (605) 791-5959.

Contact Information

Primary practice address
211 Founders Park Dr Suite 3 Rapid City SD 57701-8098
Fax: (605) 791-5960
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3471 South Dakota

Profile Details

NPI number 1417993353
LBN Legal business name Spahn, Martin Stefan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated May 6th, 2011 - 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 1417993353 NPPES
South Dakota MEDICAID 6702250

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