Spain, Marta T

Spain, Marta T is an individual health care provider with primary practice located at 1701 Curtis Rd , Champaign IL 61822-9678. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Spain, Marta T can be contacted via phone (217) 326-1477.

Contact Information

Primary practice address
1701 Curtis Rd Champaign IL 61822-9678
Phone: (217) 326-1477
Fax: (217) 326-1110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 45526 Colorado

Profile Details

NPI number 1326009705
LBN Legal business name Spain, Marta T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated May 13th, 2014 - about 10 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 1326009705 NPPES
Colorado Other 018601 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 15273865 KAISER COMMERCIAL NUMBER

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