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
Phone: (973) 895-4857
Fax: (973) 933-2030
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740284280 | NPPES |
New Jersey | Other | 480025935 | RAILRAOD MEDICARE |
New Jersey | MEDICAID | 5447704 | RAILRAOD MEDICARE |
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