Spanko, Jeffrey William

Spanko, Jeffrey William is an individual health care provider with primary practice located at 751 S Bascom Ave Podiatry Dept, San Jose CA 95128-2604. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Spanko, Jeffrey William can be contacted via phone (408) 885-5930.

Contact Information

Primary practice address
751 S Bascom Ave Podiatry Dept San Jose CA 95128-2604
Phone: (408) 885-5930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2877 California

Profile Details

NPI number 1265523492
LBN Legal business name Spanko, Jeffrey William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 24th, 2008 - about 16 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 1265523492 NPPES
California MEDICAID 000E28770

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