Spangenthal, Selwyn

Spangenthal, Selwyn is an individual health care provider with primary practice located at 1918 Randolph Rd Ste. 440, Charlotte NC 28207-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Spangenthal, Selwyn can be contacted via phone (704) 342-8143.

Contact Information

Primary practice address
1918 Randolph Rd Ste. 440 Charlotte NC 28207-1100
Fax: (704) 926-8044
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 26374 North Carolina

Profile Details

NPI number 1710975297
LBN Legal business name Spangenthal, Selwyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 8th, 2007 - about 17 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 1710975297 NPPES
North Carolina MEDICAID 891256U

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