Spann, Eric G.

Spann, Eric G. is an individual health care provider with primary practice located at 19797 Highway 5 , Mountain View AR 72560-9299. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spann, Eric G. can be contacted via phone (870) 269-4144.

Contact Information

Primary practice address
19797 Highway 5 Mountain View AR 72560-9299
Fax: (870) 269-5723
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E0234 Arkansas

Profile Details

NPI number 1528145695
LBN Legal business name Spann, Eric G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 6th, 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 1528145695 NPPES
Missouri MEDICAID 207733510
Missouri MEDICAID 125539001
Missouri Other 5J468

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