Spal, Mark Bruce

Spal, Mark Bruce is an sole proprietor health care provider with primary practice located at 23 Springhill Road , Randolph NJ 07869-4324. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Spal, Mark Bruce can be contacted via phone (973) 895-4857.

Contact Information

Primary practice address
23 Springhill Road Randolph NJ 07869-4324
Fax: (973) 933-2030
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00213800 New Jersey

Profile Details

NPI number 1740284280
LBN Legal business name Spal, Mark Bruce
Credentials D.P.M.,R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Mar 4th, 2013 - about 12 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 1740284280 NPPES
New Jersey Other 480025935 RAILRAOD MEDICARE
New Jersey MEDICAID 5447704 RAILRAOD MEDICARE

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