Spandorfer, Michael Alan

Spandorfer, Michael Alan is an individual health care provider with primary practice located at 2097 Henry Tecklenburg Dr Ste 305, Charleston SC 29414-5744. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Spandorfer, Michael Alan can be contacted via phone (843) 763-3360.

Contact Information

Primary practice address
2097 Henry Tecklenburg Dr Ste 305 Charleston SC 29414-5744
Phone: (843) 763-3360
Fax: (843) 763-3038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 20019 South Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 20019 South Carolina

Profile Details

NPI number 1134122112
LBN Legal business name Spandorfer, Michael Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 20th, 2015 - about 9 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 1134122112 NPPES
South Carolina Other P00799634 RAILROAD MC ID-RSFPN
South Carolina MEDICAID 200197 RAILROAD MC ID-RSFPN

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